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Page Background Shire of V

ictoria Plains

11

PO Box 21, Calingiri WA 6569

Ph: (08) 9628 7004 Fax: (08) 9628 7008

email:

reception@victoriaplains.wa.gov.au

Community Group Information Update Form

Organisation Name:

Contact Person:

Postal Address:

Telephone:

Fax:

Email:

Make available to public? Y / N

Website:

AGM Date:

Incorporated? Y / N

President:

Postal Address:

Telephone:

Email:

Vice President:

Postal Address:

Telephone:

Email:

Secretary:

Postal Address:

Telephone:

Email:

Treasurer:

Postal Address:

Telephone:

Email:

Other Relevant Information: