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									                                                                                        Working with Brent Council
             PARKING PERMIT REFUND REQUEST FORM

Name: ______________________________________________________________________________

Address:_____________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________


Contact Number:______________________________________________________________________
Email Address:_______________________________________________________________________

Vehicle Reg: _________________________ Permit No: ______________________

Telephone No: ________________________

Reason: ______________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________


Bank Account Details:
Account Holders Name:______________________ Account No:____________________________
Bank Name:________________________________ Sort Code: ______________________________


New Address (if applicable): _____________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________
______________________________________________________________________________

PERMIT REFUNDS

Before the permit becomes valid: the permit holder will be entitled to a full refund of the fee paid.
After the permit has become valid: the permit holder shall be entitled to a refund up to a maximum of 1/3 of the value of
the permit.

Only full months remaining are eligible for a refund.



Signature: _________________________________ Date: ____________________________




APCOA - World of Parking, trading name for APCOA Parking Services UK Ltd
Registered Office
APCOA Parking Services (UK) Ltd, Wellington House, 4 – 10 Cowley Road, Uxbridge Middlesex, UB8 2XW
Registered in England No: 2492280 VAT No: 524 9957 06

								
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