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City of Joondalup
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01:15:08
August 5, 2024
Exit
Community information sign – application for temporary permit
Local Government and Public Property Local Law 2014
Applicant Details
Association Name (where applicable)
Name
Applicant Name
*
Prefix
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
First
Last
Phone (mobile)
Phone (other)
Email
*
Applicant Address
Event Details
Location of proposed event
*
Date of proposed event
*
DD slash MM slash YYYY
Details of event (including proposed activities)
*
Sign(s) Detail
Details of the message to be displayed on the sign(s) :
*
Number of sign(s) applied for (maximum 15)
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Proposed location of sign(s)
*
Description of sign(s) i.e. design, material, size of lettering :
*
Map showing sign location
You may also attach a PDF or JPG file showing the location/map of where the signs will be located.
Max. file size: 10 MB.
Payment Details
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payment_process_mode
NOTE: THE PAYMENT PROCESSING CONTROLS ON THIS FORM ARE CURRENTLY SET FOR TEST MODE
(Use either 5555444433331111 or 4444333322221111 for the Credit Card No. with 111 as the CCV)
Payment Type Code
Fee (GST included)
Price:
Total (GST included)
$ 0.00
This field is hidden when viewing the form
Payment Type
Credit Card
*
MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number
Expiration Date
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
Security Code
Cardholder Name
Comments
This field is for validation purposes and should be left unchanged.