44 Armstrong Street South
Ballarat VIC 3350
PO Box 31
Ballarat VIC 3353
Phone 03 5331 2000
Fax 03 5332 1559

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) *
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
Contact Person
Phone Number