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Coastal vulnerability stakeholder list join form
Contact name
(Required)
Given Name
Surname
Address
(Required)
Street Address
Address Line 2
Suburb
Postcode
Email
(Required)
Reason for wanting to go on the register
(Required)
(You may select more than one reason)
A property owner whose property has been identified as vulnerable
A user/visitor of the City’s coastline
A member of a community group that is situated along the coastline
I have a general interest in coastal vulnerability
Other
Property Address
(Required)
Name of the community group
(Required)
Other reason
(Required)
Name
This field is for validation purposes and should be left unchanged.
