Online Form - Unsubscribe to e-Rates

You will receive a confirmation email once you finalise the details. Please retain for your reference.

** Please note the City will retain your details on our system purely for City of Kalgoorlie-Boulder purpose only. **

First Name*

Middle Name

Surname*

Postal Address

Street Address:*

City:*

State:*

Post Code:*

Country:*

Contact Phone Number*

Work

Mobile

Email Address*

Confirm Email Address*

Assessment Number

Property Address

Street Address:*

City:*

State:*

Post Code:*

Country:*

Please unregister me for emailed Rates Notice*

Yes

I understand I will no longer receive rate and instalment notices electronically. Please send all future rate and instalment notices for the above rate assessment to the postal address indicated above.*

Yes

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