Contract Permit App FormW

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Contract Permit App FormW Powered By Docstoc
					Ellesmere Port & Neston
Borough Council


CONTRACT PERMIT APPLICATION
Car Park: Westminster or Wellington Road

Days of week for which permit      MON      TUES      WED     THUR   FRI    SAT     SUN
is required

Vehicle Registration Numbers (max 2):


Start Date:                                 Expiry Date:

Name:

Invoice Address:                            Postal Address:
                                            (if different)




Post Code:                                  Post Code:

Tel No:                                     Tel No:

E-mail:                                     E-mail:

For charges see the back of this form.

Tick payment method required:

Annual Charge:

Monthly Charge:


•       All permits will expire on 31 October.

•       All charges quoted are per space and include VAT.

•       Do not send payment with form, as an invoice will be sent under separate cover
        from the Payments Unit.

•       I have completed the details required and agree to abide by the terms and
        conditions of the Permit as attached.


Signed: …………………………………………….                            Dated: ……………………………………
    Property & Support Services, Council Offices, 4 Civic Way, Ellesmere Port, CH65 0BE
                         Tel: 0151 356 6408 Fax: 0151 355 4305
Property & Support Services, Council Offices, 4 Civic Way, Ellesmere Port, CH65 0BE
                     Tel: 0151 356 6408 Fax: 0151 355 4305
CONTRACT PERMIT CHARGES

FROM                 TO               2 day permit    3 day permit     4 day permit     5 day permit     6 day permit   7 day permit

November 1st-30th    October 31st        £74.40          £111.60          £148.80          £186.00         £223.20        £260.40
                     following
December 1st-31st    October 31st        £68.20          £102.30          £136.40          £170.50         £204.60        £238.70
                     following
January 1st-31st     October 31st        £62.00           £93.00          £124.00          £155.00         £186.00        £217.00
                     following
February 1st-28th    October 31st        £55.80           £83.70          £111.60          £139.50         £167.40        195.30
                     following
March 1st-31st       October 31st        £49.60           £74.40          £99.20           £124.00         £148.80        £173.60
                     following
April 1st-30th       October 31st        £43.40           £65.10          £86.80           £108.50         £130.20        £151.90
                     following
May 1st-31st         October 31st        £37.20           £55.80          £74.40           £93.00          £111.60        £130.20
                     following
June 1st-30th        October 31st        £31.00           £46.50          £62.00           £77.50           £93.00        £108.50
                     following
July 1st-31st        October 31st        £24.80           £37.20          £49.60           £62.00           £74.40        £86.80
                     following
August 1st-31st      October 31st        £18.60           £27.90          £37.20           £46.50           £55.80        £65.10
                     following
September 1st-30th   October 31st        £12.40           £18.60          £24.80           £31.00           £37.20        £43.40
                     following
October 1st-31st     October 31st        £6.20            £9.30           £12.40           £15.50           £18.60        £21.70
                     following




                          Property & Support Services, Council Offices, 4 Civic Way, Ellesmere Port, CH65 0BE
                                               Tel: 0151 356 6408 Fax: 0151 355 4305

				
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Description: Contract Permit App FormW