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General Enquiry Form

Real people. Real Smiles. Real Service. You know that at Wide Bay Australia there’s always a real person you can count on! Easy!

You can fill out the form below to submit a general enquiry.

If you wish us to respond to your enquiry, please provide your preferred contact details. You may remain anonymous or use a pseudonym. However if you choose this option we may not be able to assist you with your enquiry.

First Name:
Last Name:
Email Address:
Residential Address:
Best Time to Call:
Wide Bay Australia Client Number (if you are an existing customer):
Preferred Contact Method:
Questions, Comments and Requests:

Privacy Declaration & Consent: By completing and submitting this form, you consent to us storing, using or disclosing your personal information to achieve the purpose/s for which you provided it. Our storage, use or disclosure of your personal information will be in accordance with the Australian Privacy Principles. You can also read our Privacy Policy.

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