2016/2017 Benchmarking Order Form

Please complete this form if you wish to receive a copy of the 2016/2017 Local Government Customer Service Benchmarking Report. Please note there is no references to individual Councils or their data. The Report is distributed on receipt of payment.

Question Title

* 1. Please provide your contact information.

Name

Council

City/Town

Email Address

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* 2. How do you wish to pay for the report, which is $500 +GST?

Credit Card (an additional 2.7% processing fee is applied)

EFT

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* 3. Purchase Order Number

Question Title

* 4. Are you interested in participating in the 2017/2018 Benchmarking Program?

Yes

No

Unsure