* indicates the field is mandatory
Surname *
Given name/s *
Postal address *
Please provide at least one way that we can contact you if required.
Email address
Phone number
Mobile number
Is the property in a gated community? *
Provide any access codes or details
How many green waste bins do you require? *
Which street (and number) do you place your bins on for collection? *
Your City service account number (Rate account) *
Your City service property address *
How did you hear about the new green waste bin service? *
If 'Other', provide details
Provide any additional details or further information
If you have any documentation or supporting evidence, please attach it below. Please limit attachments to 20MB.
Attachment 1
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Attachment 2
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