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Full Name
First Name
Last Name
Lot Number
Lot Street Address
Postal Address (if different from above)
Email Address
Email Address 2
Daytime Contact Number
Mobile Number
Is this an investment property?
- Select -
Yes
No
Method of delivery of communications
How would you like to receive future fee notices?
- Select -
To the owner by mail
To the owner by email only
To the agent by mail
To the agent by email only
How would you like to receive future correspondence?
- Select -
To the owner by mail
To the owner by email only
To the agent by mail
To the agent by email only
If your property is tenanted please complete the below sections
Agent Company Name
Branch Office Address
Agent Phone number
Agent Email
Agent Property Manager