* Denotes that the field is mandatory.
If you know your Online Services Id (Name Key), please use the Automatic Registration option. Otherwise, please fill out the required field. When this form is received by Council, and has been verified, you will receive an email informing you that you can use the system.
Create a user name you wish to use for Online Services.
User Name *
Enter your name details here:
Given Names
Surname *
Company Name
Enter your contact details here:
Address Line 1 *
Address Line 2
Suburb *
Postcode *
Phone Number *
Fax Number
Mobile Phone Number
Email Address *
Delivery Method *
Payment Method *