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	Moree Town Centre Bypass Project

Make a comment

If you would like to be included on the mailing list to receive further information on the project as it becomes available, please use the form below. We also value any comments you may have on the Moree Town Centre Bypass Project.

Please note that you do not have to provide your personal details. However, if you do not provide contact details, we will be unable to send you further information on the project, or respond to your email. You will nonetheless be able to continue to access information on the website.

Personal Information

Organisation Name:

Name:

Address:

Suburb/Town:

State:		PostCode:

Phone Number:

Fax Number:

Email Address:

Would you like to be put on our postal mailing list to receive website update alerts?

	Yes		No

Would you like to be put on our e-mail list?

	Yes		No

I am a...

	Resident
	Business Owner
	Other

I would like information on:

My suggestions regarding the project are:

My key concerns regarding the project are:

How my comments/enquiry can be used

Sinclair Knight Merz can use the information to contact me to clarify content of my correspondence or to seek other information

	Yes. I would like to be contacted.			No. Please do not contact me.

Roads and Traffic Authority Privacy Statement

All information included in correspondence is collected for the sole purpose of assisting in the assessment of this proposal. The information received including names and addresses of respondents, may be published in subsequent assessment documents unless clear indication is given in the correspondence that all or part of that information is not to be published.