Home, Mobile, Work Phone Numbers and Email Address - Change of Details

Let us know which details you would like to update

I would like to update my*

Name and surname*

Email*

Mobile number*

Home phone number

Work contact number

Shire of Murray Property Address

Street Address:*

City:*

State:*

Post Code:*

Country:*

Does this affect more than one property?*

YesNo

If yes, please add the additional property address

Street Address:

City:

State:

Post Code:

Country:

Name

Phone number

I am authorised to update these details on behalf of this owner

YesNo

Signature

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