Contact us

Please complete this form as appropriate and submit as directed so that your enquiry can be responded to promptly.

Please fill in all mandatory fields denoted by *.

About you

Title:*
First name:*
Surname:*
Street address:*
State:* Postcode:*
Postal address:
Telephone:   (Please include your area code starting with 0)
Fax:   (Please include your area code starting with 0)
Email:*
*Where did you hear about Benetas?:


Your information requirements

I would like someone to contact me regarding:
 







 
Please provide brief details on the information you require:
 
I would like to receive regular updates on Benetas activities. Please add me to your mailing list so that I can receive the:
 



Your feedback

Benetas has a commitment to continuous improvement and the achievement of best practice in aged care. We welcome your feedback (comments, suggestions, commendations) regarding our organisation, the services we provide and your experience using this website.
Your feedback:
I understand and accept that Benetas collects my personal information to assist in providing me with the information I have requested and/or to improve the quality of their services. I acknowledge that all information collected is used and maintained in accordance with Benetas Privacy Policy.

Please check to agree:*