Contact Details
Name
*
Address
*
Contact Number
*
Email Address
*
Animal Details
Animal Number
*
Animal Name
*
Animal Address
*
My animal has
*
Passed away
Been sold/given to someone outside of Wellington Shire
Other
Please provide details
*
I agree that the information provided on this form is true and correct and that I am authorised to request these changes. I also understand Council may contact me for further clarification if required.
*
I acknowledge Wellington Shire Council's
Privacy Statement
.
Please wait, files are uploading..
Submit