Customer Request Management Entry

Instructions

Please complete the following form with as much details as you can to help us process your request in a timely manner. This form is only to be used for non-urgent requests. For any urgent or dangerous issues, please call (08) 9528 0333.

Please note that we take your privacy seriously and will not disclose your details to any third party without prior permission.

LitterBusters - Make a Report

LitterBusters - Make a Report   

Description *

Enter a description of your request.

Property Description

Search for the property the call is in relation to.

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    Upload Attachments

    Browse for an attachment to link to this call.

    Street Details

    Select the Street and Suburb from the drop-down fields below that your request is in relation to.

    Customer Details *

    Name

    '

    Contact Details

    Residential address

    Residential address

    Postal address if different from residential

    Postal address if different from residential

    What is the preferred method of receiving correspondence?

    Other Contacts Add

    CRM to CRM

    Link another Customer Request to this call.

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