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Townsville Housing – Register Interest
Townsville Specialist Disability Accommodation
Please register your interest for specialist disability accommodation by completing the form below or calling
1800 844 727
PLEASE COMPLETE ALL ANSWERS
First name
*
Last name
*
Age
*
Contact phone number
*
Contact email address
*
NDIS status
Approved
Not Approved
Unsure
Disability
Do you use a wheelchair?
Yes
No
If yes, is your wheelchair manual or electric?
Manual
Electric
I don't use a wheelchair
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Need support?
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