Victoria Body Corporate Services

This form is for new clients who have recently purchased a VBCS managed property or for current clients who have new contact details.

Your details

If you are human, leave this field blank.

First Name: *
Surname: *
Phone Number: *
Mobile Number:
Email Address 1	(Note: this email address needs to be valid or your details will not be sent to us)
Email Address 2:
Date Interest Acquired (dd/mm/yyyy):
Preferred Name for Correspondence including salutation (if different from above):
Address we currently have on file for you (if applicable):
PROPERTY DETAILS
Levy Address (if different to address already supplied):
Lot Number:
Unit Number:
Owners Corporation Plan Address:
AGENT DETAILS
Agent Contact Name:
Agent Phone:
Agent Email:
EMERGENCY DETAILS
Emergency Contact Name:
Emergency Contact Phone:
I hereby declare that all the above information is correct to my knowledge. I understand that the accuracy of contact details supplied to VBCS is my sole responsibility and that I should notify VBCS immediately if any of my details change.

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