Visitor Ticket Application Form Visitor Ticket Application Form by DerekFine

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									                                          Visitor Ticket Application Form
                                                                                                     For Office Use Only

Mr/Mrs/Miss/Ms ........................   Initial ……………… Surname ……………………………..                       Payment £…………

                                                                                                     Cheque                Postal Order
Address ………………………………………………………………………………………...
                                                                                                     Credit/Debit card     Cash
Postcode ……………………………………………………………………………………….
                                                                                                     Proof of Residency shown:
Daytime Telephone Number ………………………………………………………………….                                                  Utility Bill          Bank Statement

Visitor Tickets prices per book. Please indicate the number of books required in the                 Tenancy               Solicitors
                                                                                                     Agreement             Completion
boxes provided. (10 tickets per book, 5 books maximum).                                                                    Letter

           One Hour                        Four Hour            Six Hour
            £5.00                           £15.00              £20.00                               Visitor Ticket Numbers:

                                                                                                     1hr:

                                                                                                     4hr:
Please be aware of the conditions of use, summarised in the books of tickets.
                                                                                                     6hr:
I hereby apply for the above Visitor Tickets; I understand that a false declaration                  Are Visitor Tickets on system?
and misuse of the tickets will render the tickets invalid.
                                                                                                     Yes            No
I enclose the appropriate fee and a utility bill or bank statement dated within the last three months.
We will accept written authorisation to view Council Tax records this is not available on counter applications

Signed………………………………………………………………… Date ……………………………………………………………




                                          Visitor Ticket Application Form
                                                                                                     For Office Use Only

                                                                                                     Payment £…………
Mr/Mrs/Miss/Ms ........................   Initial ……………… Surname ……………………………..
                                                                                                     Cheque                Postal Order
Address ………………………………………………………………………………………...
                                                                                                     Credit/Debit card     Cash
Postcode ……………………………………………………………………………………….                                                          Proof of Residency shown:
Daytime Telephone Number ………………………………………………………………….
                                                                                                     Utility Bill          Bank Statement
Visitor Tickets prices per book. Please indicate the number of books required in the
                                                                                                     Tenancy               Solicitors
boxes provided. (10 tickets per book, 5 books maximum).                                              Agreement             Completion
                                                                                                                           Letter
           One Hour                        Four Hour            Six Hour
            £5.00                           £15.00              £20.00
                                                                                                     Visitor Ticket Numbers:

                                                                                                     1hr:

Please be aware of the conditions of use, summarised in the books of tickets.                        4hr:

                                                                                                     6hr:
I hereby apply for the above Visitor Tickets; I understand that a false declaration
and misuse of the tickets will render the tickets invalid.                                           Are Visitor Tickets on system?

I enclose the appropriate fee and a utility bill or bank statement dated within the last three months. Yes     No
We will accept written authorisation to view Council Tax records this is not available on counter applications

Signed………………………………………………………………… Date ……………………………..............................................




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