E- Rates Registration If you would like to update your details, please complete the form below. Title*This field is required. Select an Option CO CR DR EST MISS MR MRS MS N REV U * Required Field. Given Name*This field is required. * Required Field. Surname / Company*This field is required. * Required Field. Date of birth (DD/MM/YYYY): * - Is the change for rates correspondence?*This field is required. YesNo Enter property assessment number: * Required Field. Does the address need to be updated for all property owners?*This field is required. YesNo * Required Field. Current Address*This field is required. * Required Field. New address*This field is required. * Required Field. Is your postal address the same as your new residential address:*This field is required. YesNo Please enter your postal address: * Required Field. Do you own another property within the Town of East Fremantle?*This field is required. YesNo Enter address here: * Required Field. Do you own a Dog or Cat that is registered with the Town of East Fremantle*This field is required. YesNo * Required Field. Email*This field is required. * Required Field.* Please enter a valid email address. Telephone number*This field is required. * Required Field. Additional Notes Upload File Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Type the code from the image: The code you entered is not valid. Get Audio CodeType the code from the image