City of Joondalup Forms – A Global City: Bold | Creative

20:53:27

Ocean Reef Boat Harbour parking permit application/renewal

Application for an annual permit for vehicles with attached boat trailer to park in the Ocean Reef Boat Harbour car park.

Boat Trailer Registration Plate Number (enter one only)*
Do you have an existing permit?*
- No
- Yes
Expiry date of existing permit (dd/mm/yyyy)*
The date of expiry of the existing permit cannot be more than 28 days in advance of this application.
DD slash MM slash YYYY
Section A – Applicant Details
Name*
Title First Name Surname
Are you a resident of the City of Joondalup*
- No
- Yes
Residential Address*
Residential Address*
Address Line 1 Address Line 2 Suburb State Post Code Country
Phone number*
Email*
Section B – Seniors/Pensioner Concession Card Discount
NOTE : Only complete this section if you are applying for a discounted fee. You must supply proof of residency as well as a copy of your current WA Seniors/Pensioner Concession Card to be eligible for the discounted fee.
Apply for WA Seniors / Pensioner Concession
- Yes
WA Seniors / Pensioner Concession Card*
Attach a photograph or scanned copy of your current WA Seniors/Pensioner Concession Card
Accepted file types: jpg, jpeg, png, gif, pdf, Max. file size: 10 MB.
Proof of City of Joondalup residency*
Attach a photograph or scanned copy of your current WA Drivers licence.
Accepted file types: jpg, jpeg, png, gif, pdf, Max. file size: 10 MB.
Declaration*
I have read and agree to comply with the terms and conditions for the Ocean Reef Boat Harbour parking service and declare the information provided above is true and correct.
- Yes
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)
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Transaction Reference
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Payment Type Code
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Payment Type*
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GST Info
Fee
Price:
Fee
Price:
Total (GST Inclusive)
$ 0.00
Credit Card*

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Email
This field is for validation purposes and should be left unchanged.

Ocean Reef Boat Harbour parking permit application/renewal

Section A – Applicant Details

Section B – Seniors/Pensioner Concession Card Discount

Payment Details