Position in Name: Organisation: Contact Person Provide details of the Contact Person who will deal with the Department in this matter. Title Mr Mrs Ms Miss Other (specify) Full Name Position Held Email Phone Mobile Number IMPORTANT NOTES If your organisations charitable collections licence expires your organisation will no longer be able to solicit charitable donations or fundraise in Western Australia. How to Lodge This form, and its attachments can be returned using one of following methods: Lodgement by Email: Lodgement by Post Lodgement in Person (preferred) . (8:30am 4:30pm weekdays) – Department of Mines, Industry Department of Mines, Industry Regulation and Safety Regulation and Safety Consumer Protection Division Consumer Protection Division Locked Bag 14 Level 2, Gordon Stephenson House Cloisters Square 140 William Street PERTH WA 6850 Perth
Name: Position in Organisation: Contact Person Provide details of the Contact Person who will deal with the Department in this matter. Title Mr Mrs Ms Miss Other (specify) Full Name Position Held Email Phone Mobile Number IMPORTANT NOTES If your organisations charitable collections licence expires your organisation will no longer be able to solicit charitable donations or fundraise in Western Australia. How to Lodge This form, and its attachments can be returned using one of following methods: Lodgement by Email: (preferred) Lodgement by Post . Lodgement in Person (8:30am – 4:30pm weekdays) Department of Mines, Industry Regulation and Safety Consumer Protection Division Locked Bag 14 Cloisters Square PERTH WA 6850 Department of Mines, Industry Regulation and Safety Consumer Protection Division Level 2, Gordon Stephenson House 140 William Street Perth
charlicrenew.docx.docx