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SHINE Contact Details Update
Please complete the form to update your SHINE Contact details
Fill in all sections of your contact details that have changed (Phone number, email address or postal address)
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* Indicates required question
I signed up to SHINE as:
*
Pregnant person
Partner of pregnant person
First Name
*
Your answer
Last name
*
Your answer
My new contact number is:
Your answer
My new email address is:
Your answer
My new postal address is:
Street number and Street name
Your answer
My new postcode is:
Your answer
My new state is:
VIC
NSW
QLD
WA
ACT
TAS
NT
Other: Moved outside Australia
Clear selection
If you have moved outside Australia, what country have you moved to?
Your answer
Any other information:
Your answer
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