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Application to change address

PLEASE NOTE: It is your responsibility to ensure that you complete this form accurately and provide the correct information. By submitting this form you confirm that you are authorised to make address changes. Failure to provide accurate and complete information may result in processing delays or non acceptance. G-MW accepts no liability for any instruction that does not comply with these conditions. Should you require further information please visit our website at: www.g-mwater.com.au or phone us on: (03) 5826 3500

PDF version available

Download a PDF version of this application form

Required fields are marked: This is a required field.

1.
  • ABA number can be found on your annual ABA statement, or on your usage statement, or on WaterLINE online.

  • Property number can be found on all accounts and statements.

  • Service Point Outlet can be found on your usage statement or on WaterLINE online.

PLEASE NOTE: At least two of the above three fields should be completed
2
  • Yes No
3
  • Previous postal address
  • Current postal address
4
  •   Will be used for confirmation of reciept of your application
5

PLEASE NOTE: ALL owners must sign. If the owner is a Company, Syndicate or Committee etc. the name must be specified below along with your capacity to sign (eg. Director, Secretary)This is a required field.

  • Full Name: Signature:
    (or name of person submitting form)
    Capacity to sign:
    (eg. Owner, Director, Secretary)
    Date:
6
  • OPT IN. To G-MW Publications & Information

 

Protecting Your Privacy
Goulburn-Murray Water protects your privacy by collecting and handling your personal information in accordance with the requirements of the Information Privacy Act 2000. The personal information collected in this form will only be used for the purpose of updating our customer database. It will only be disclosed to appropriate staff in regard to the purpose for which it was provided. You have a right to access and correct personal information you provide to Goulburn-Murray Water. For further information regarding Goulburn-Murray Water’s privacy statement please refer to our website at www.g-mwater.com.au

 

Protecting Your Privacy
Goulburn-Murray Water protects your privacy by collecting and handling your personal information in accordance with the requirements of the Information Privacy Act 2000. The personal information collected in this form will only be used for the purpose of updating our customer database. It will only be disclosed to appropriate staff in regard to the purpose for which it was provided. You have a right to access and correct personal information you provide to Goulburn-Murray Water. For further information regarding Goulburn-Murray Water’s privacy statement please refer to our website at www.g-mwater.com.au