Electronic Communication Consent Form

 

 

eho] NOOSA. COUNCIL
REQUEST FOR ELECTRONIC COMMUNICATION FOR DEVELOPMENT APPLICATIONS

 

‘Electronic Correspondence Agreement

Lv) agree to correspond with Noosa Council electronically and to receive all future correspondence in relation to my
development applications via the email address provided below, and not by hard copy mail.

Email address: . = 5
_ w& f poe ge ytban, Com. au.
Please provide'corporate/e-mail address If avaitable.

   
   

Signed:

  

“Please forward completed form.to the following ;
Name: Trish Sweeney — [email protected]

 

Comments:

 

Privacy
Council will use any personal information provided for the intended purpose only and forremaining in contact with you. Council is
authorised to collect this information in accordance with the Local Government Act 2008 and other Local Government Acts. Your
personal information is only accessed by persons authorised to do so. Your personal information is dealt with in accordance with
council's privacy policy.

 

Noosa Council PO Box 141 Ph:(07)53296500 [email protected]
TEWANTIN QLD 4565