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Customer Request Form

If you notice some work which needs to be carried out by Council and you would like us to investigate further, please provide details below. Alternatively, you can call Council on 8366 9222.

(*) Mandatory Field

Customer Request

Your Details

Your Name*
Your Telephone Number*
Your Email Address
Your Street Address
Your Suburb*

If other, please specify below.

Your Suburb (if not listed above)
Postcode

Request Details

Nature of Request*
Street Address of Request
Suburb
Additional Location Details (e.g. "South of footbridge etc.)
Description of Request*
Tick this box if you would like to be notified of the outcome of Council's investigation

Please ensure that your details are correct so that we can contact you

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PO Box 1, Campbelltown SA 5074|172 Montacute Road, Rostrevor|(08) 8366 9222
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