Feedback Form

^(*) Mandatory Field

Feedback / Enquiry

Compliment / Suggestion / Complaint

Compliment Suggestion Complaint

Name*

Postal Address*

Property Address*

Daytime Contact Number*

Email Address*

Please describe the nature of your Compliment / Suggestion / Complaint

Priority

Have you previously contacted Council with this issue ?

Yes No

If yes, who did you speak to and what was the agreed outcome?

Additional Comments*

Please send your comments via eamil to info@mallala.sa.gov.au if you have insufficient room

Email Submitted Data

Send a copy of the submitted form to this email address.

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