CAIRNS BICYCLE USER GROUP
ROAD AND PATH REPORT FORM

Please print, complete and mail to:-
Lenore Evans, Secretary, CBUG, 17 Gordon St, Earlville, Cairns, 4870.
Phone 07 4054 1756 - Email cbug@cairnsbug.org - Web Site http://www.cairnsbug.org

CBUG will keep you informed of any replies and action about your report.
Your report will be entered on this web site but not your name.

It is difficult for CBUG to keep track of every report so people who make reports are requested to assist by:-

  • Keep CBUG informed about any action that has taken place with your report so CBUG can make an inspection and follow up.
  • Make your own enquiries to the transport authority (Main Roads, Council, Road Safety, Police etc) about the progress of your report.
  • Contact your federal, state and local politician.
  • Anything else you can think of.

    • Date: _______________________ Time: _________________ Weather: _________________________

    Name:______________________________________Age:________________M/F: _______________

    Address: _____________________________________________________________________________

    Phone:__________________________________________Email:_________________________________

    LOCATION:___________________________________________________________________________

    _______________________________________________________________________________________
    (Draw map if necessary).

    PROBLEM:____________________________________________________________________________

    _______________________________________________________________________________________

    _______________________________________________________________________________________

    _______________________________________________________________________________________

    _______________________________________________________________________________________

    _______________________________________________________________________________________
    (Diagrams and maps are a big help).

    I will do my best to keep CBUG informed of any "progress" or "no action" of my report.

    Signed:- _____________________________ Date:__________________

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