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Car Park Season Tickets
Title
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Full Name
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Address
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Postcode in CAPITALS eg: DY10 1FB
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Incorrect postcode
Daytime telephone/mobile number
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Email Address
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Type of ticket
Full
Restricted
Senior Citizen
Bromsgrove Street only
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Vehicle Registration Number(s)
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Duration of ticket
1 Month
6 Months
12 Months
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How would you like to collect your pass
Post it to me
Collect it from Customer Services, Green Street
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Pick a start date
(PLEASE ALLOW THREE WORKING DAYS FOR HUB COLLECTION AND FIVE WORKING DAYS FOR POSTING)
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Payment Method
Pay in Full
Direct Debit
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WYRE FOREST DICTRICT COUNCIL IS UNDER A DUTY TO PROTECT THE PUBLIC FUNDS IT ADMINSTERS AND THEREFORE MAY USE THE INFORMATION YOU HAVE PROVIDED ON THIS FORM FOR THE PREVENTION AND DETECTION OF FRAUD. IT MAY ALSO SHARE THIS INFORMATION WITH OTHER BODIES RESPONSIBLE FOR AUDITING OR ADMINISTRATING PUBLIC FUNDS FOR THESE PURPOSES.
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