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Homeless Services in the Inner City Brochure Order Form

Please note: if there is more than one department in your organisation, please use this form to submit a central order.

1. Customer Details

2. Purpose / Use of Brochure

3. Quantity Required

4. Customer Authorisation

Please be advised that orders over 40 brochures are required to be collected from Council House (27 St Georges Terrace, Perth).

Privacy - The personal information collected on this form will only be used by the City of Perth for the sole purpose of providing requested and related services. Information will be stored securely by the City of Perth and will not be disclosed to any third parties without your express written consent.

Copyright - I authorise the City of Perth to reproduce any attachments provided with this form for internal purposes only.

 

Need more help?

If you have any questions, please contact Community Services on : (08) 9461 3392 or email: cmsinbox@cityofperth.wa.gov.au