If you have received promotional postal mail from NIDA and no longer wish to receive this material, or want to update your address, then please complete this form.
First name* Last name* Email* (You will receive an email confirmation when you have completed this form. We may also need to contact you if the information you supply does not match our records) Would you like to update your details or remove yourself from our postal mailing list?*
Please provide your previous postal address, or address you wish to be removed from our mailing list:
Previous street address or PO Box number*
Previous suburb*
Previous state* -- Please select --ACTNSWNTQLDSATASVICWA
Previous postcode*
Please provide your new postal address, if you are updating your mailing address:
New street address or PO Box number
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New state -- Please select --ACTNSWNTQLDSATASVICWA
New postcode
Further comments (e.g. my household is receiving multiple copies):
*Mandatory
