ADAMS + SPARKES Town Planning Report (30 & 32 The Cockleshell)

 

 

How to pay (Cash not accepted)

[-] inPerson
Please present in person at a Customer Service
Centre: 8:30am to 5:00pm, Monday to Friday.

Caboolture: Ground Floor, 33 King Street
Maroochydore: Ground Floor, 6-10 Maud Street

CO Cheque

Please make cheque/money orders payable to Unitywater and mail to: PO Box 953, Caboolture Qid 4510
[J creait cara

Please complete your details below to make a credit card payment by Visa or MasterCard.

To ensure the security of your credit card, please do not provide your credit card number or any other card details on this
form.*

Instead, a member of our Unitywater team will call you as soon as possible after receiving this Form to ask for your credit
card number and process your payment over the phone.

Please provide your preferred daytime phone number below so we can call you and send this completed form to:

© — email: [email protected]
® or post: PO Box 953, Caboolture QLD 4510

Application Details:
Application number:
Development name/address:

 

Contact name:

 

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Card holders name:

 

Cardholder signature:
Amount payable: $ POA : Date:

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* This also helps ensure compliance with the Payment Card Industry Data Security Standard.

Please note a surcharge to cover the costs associated with credit card transactions could apply.
For further information please go to www.unitywater.com/creditcard

 

 

Privacy statement: Unityweter is collecting your personal information for the purpose of providing the requested service. The collection of this
information is authorised under the South East Queensland Water (Distribution and Retail Restructuring) Act 2009. Your information will not be given
to any other person or agency unless required by law or we have your permission in writing.

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