FEEDBACK

In an effort to address issues within the Division 1 community, I would be grateful to receive your feedback on any local matters of concern or issues that you would like taken forward to benefit our area. Your input and views are important to me and will help me to ensure maximum benefits flow to our area.

Please take a moment to provide information to me that will help me to represent your wishes at a local government level.

I will need your contact details so that I can follow up your inquiry and respond directly to you. You must at least enter your name and a telephone number or email address for this form to work.

Also please answer the security question at the bottom of the form to help us avoid spammers.

Name*:
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Address:
Phone**:
Email**:
  ** enter either a phone number or email address
Do you have any issues specific to Division 1 that you would like addressed or about which you would like more information?
Do you have questions about the city as a whole or actions you would like to see taken?

Anti-spam security question:
At which end of the Gold Coast is Division One?  What's this for?

If you would prefer to send in your feedback by mail, please click here for a printable version of this form in Adobe pdf format.

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Print out the form, fill it in and post it to me at

PO Box PO Box 1894
Oxenford Q. 4210.