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Application for approval of Scorecard Brand material For more information about this program, contact the Department of Environment, Land, Water and Planning. Phone: 136 186, email: [email protected] or visit Applicant Details: Company/Business name: Address: Contact Person: Telephone/Mobile: Email: ABN: Please list and describe the purpose of each product you are sending for approval: Marketin g material name What is the material’s purpose? Who is the intended audience? How will the material be distributed? E.g – letterbox drop, local or metropolitan newspaper, online – website or social media What are the distribution numbers? Please note that approval can take up to five business days from date of submission. For Department use: Tracking number: Material approved: Yes / No Additional notes:

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Application for approval of Scorecard Brand material

For more information about this program, contact the Department of Environment, Land, Water and Planning. Phone: 136 186, email: [email protected] or visit www.vicenergysaver.vic.gov.au/scorecard

Applicant Details:Company/Business name:Address:Contact Person:Telephone/Mobile:Email:ABN:

Please list and describe the purpose of each product you are sending for approval:

Marketing material

name

What is the material’s purpose?

Who is the intended audience?

How will the material be distributed? E.g – letterbox drop, local or metropolitan newspaper, online – website or social media

What are the distribution numbers?

Please note that approval can take up to five business days from date of submission.

For Department use: Tracking number: Material approved: Yes / NoAdditional notes:

Application for approval of Scorecard Brand material

For more information about this program, contact the Department of Environment, Land, Water and Planning. Phone: 136 186, email: [email protected] or visit www.vicenergysaver.vic.gov.au/scorecard