44 Armstrong Street South
Ballarat VIC 3350
PO Box 31
Ballarat VIC 3353
Phone 03 5331 2000
Fax 03 5332 1559
realestate@doepels.com.au


Members Contact Form

To update your contact details, please submit this form

Please complete all fields in this form and return to the address above or Email: oc@doepels.com.au


Items marked with an * must be completed

Plan of Subdivision Number
Address *
Suburb *
Postcode *
Lot Number(s) *
Full Name of Owners *
Contact Person (if company owned)
ABN (if company owned)
Residential Address *
Postal Address (if different to above)
Phone (Private) *
Phone (Business) *
Phone (Mobile) *
Fax
Email Address *
Preferred Method for Correspondence * Email       Mail

Emergency Contact

In the event of an emergency, where the owner is unavailable
Name *
Relationship *
Telephone *

Property details

Is the unit owner occupied or tenanted? *

Owner Occupied     Tenanted

If tenanted, provide details of the Property Manager *
Property Manager
Address
Contact Person
Phone Number