Cootamundra-Gundagai Regional Council De-amalgamation – Online Submission Form

02 4428 4100

About you – Personal Details(Required)

Yes

I would like my name and personal details to be treated as confidential

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Question 1 - How are you affected by the Proposal?

Council

Elector

Other

Question 2 - Do you support the Proposal?

Yes

Undecided

Question 3 - Do you wish to make any comments on the Proposal?

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