Single choice multi choice dropdown list checkbox

NOTE: Fields marked by an * must be completed.

Single choice *

I am not an owner, shareholder or trustee, but I want to do something with a Māori land block

I am an owner, shareholder or trustee, but I want to do something with a Māori land block

This is another long answer

I would like to start a farm on the land

Multi choice *

I am not an owner, shareholder or trustee, but I want to do something with a Māori land block

I am an owner, shareholder or trustee, but I want to do something with a Māori land block

This is another long answer

I would like to start a farm on the land

Email address *

Checkbox