Online Form - Request for Deputation

First name*

Last name*

Phone*

Email*

Address*

Request for deputation*

Ordinary Council Meeting
Agenda Briefing Forum

Date of meeting*

Agenda item deputation is related to*

Description of deputation*

Maximum total combined file size is 10MB.

Relevant documents*

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

How many people will be attending?*

1
2
3
4
5

Names and suburbs of people attending (please separate as name, suburb | name, suburb...)

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