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Submit or Change the Heritage Contact Details at Local Government

Use this form to submit your Local Government contact details.

HINT: You can use the Tab key to move to the next box.

Is this a new entry or a change of details?


Heritage contact details
Title (Mr / Ms /Other)
First Name
Last Name
Position
Telephone
Facsimile
Mobile
Email Address

Heritage Advisor
Heritage advisor name

General Manager and Shire or Council details
GM Title (Mr / Ms /Other)
GM First Name
GM Last Name
Shire or Council Name
Council Reception Phone
Council Fax
Website

Street address
Address
Address contd.
(if required)
Suburb/Town
State
Postcode

Postal address if it is different from the street address
Address
Suburb/Town
State
Postcode

DX address
DX Number
DX Exchange

For further information, Email the Heritage Branch.

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