Electronic Communication Consent Form

 

a
lege] NOOSA COUNCIL

REQUEST FOR ELECTRONIC COMMUNICATION FOR DEVELOPMENT APPLICATIONS

Electronic Correspondence Agreement :

   

Ni 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: . ,
Admin, SC @ empice end nesing -Gom.au

Please provide corporate e-muil address if available.

Signed: SU ED

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 for remaining in contact with you. Council is
authorised to collect this information in accordance with the Local Government Act 2009 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