Gore District Council Customer Request Form

Instructions

Please provide as much information as possible to enable us to quickly process your request.
If you enquiry is urgent please phone us on (03) 209 0330.

eService Street Lightinq Enquiry

eService Street Lightinq Enquiry   

Customer Name (Required)

Customer Phone (Required)

Customer email

Location Description (Required)

Enter a description of the location related to the call.

Description (Required)

Enter a description of events/problem.

Upload Attachments

Upload a file from your computer to support this enquiry.
Files can include photos, scans, documents, spread sheets etc.

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