Austereo Group Ltd

You must provide the information below so that we can process your complaint and respond to you as required by the Codes. Download a copy of the Codes of Practise (Updated Sept 04):
A. Personal Information
Title:
Surname:
Given Names :
Address:	(required for a formal complaint)
Suburb:
State:
Postcode:
Email:
Phone Number: (optional)
Fax Number: (optional)
Mobile Number: (optional)
You must provide the information below so that we can carry out our internal investigations to identify the program complained about. Your complaint cannot be made more than 30 days after the broadcast.
B. Complaint Information
Name of station:
Location where boardcast was heard
Name of programme
Time of broadcast
Date of broadcast
Complaint issue :
Code provision (if known)
C. Summary of Complaint
Summary :
This information will be used for the stated purposes only. We will destroy all unused information as well as any information that is acted upon. Please read Austereo's Privacy Policy for further information.