Application for Regular Parker card

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Tel: 01372 732000
Txt: 07950 080202

Address:
Epsom & Ewell Borough Council
Town Hall
The Parade
Epsom
Surrey
KT18 5BY

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BWSforms > CRM Forms > Application for Regular Parker card

Application for Regular Parker card

Please note: The fields marked * must be completed.

Title ^*

Forename(s) ^*

Surname ^*

Property Name or Number ^*

Street ^*

Town ^*

County ^*

Postcode ^*

Please enter your Postcode in CAPITALS e.g. as KT18 5BY (with a "space")

Email address ^*

(A full copy of your completed application will be sent to this address as confirmation of receipt)

Telephone numbers - Please submit at least one daytime contact number (Home/Mobile/Work)

Telephone Number ^*

Vehicle registration ^*

Regular Parker Card: Terms and Conditions of Use

The Regular Parker card cannot be used in conjunction with any other concessionary or promotional parking charges that may be available from time to time
The Regular Parker card can only be used in Hook Road car park
The Regular Parker card is non transferable and will only allow entry and exit for one vehicle at a time
The Council reserves the right to render invalid any card where there is evidence that these conditions have been infringed
The annual cost of a Regular Parker card will be set by the Council each year. Parking charges, and the applicable concessionary rate, may be varied from time to time
The opening hours of Hook Road car park will remain the same, ie Monday to Saturday, 0700 hours to 2000 hours. Closed on Sundays and Bank Holidays.
Cards will be valid until 31 March.

Lost cards
If a card is lost it should be reported immediately to Customer Services at the Town Hall so it can be deactivated. If any credit is on the card, only the balance at the time of notification will be transferred to a new card. Please note if a replacement card is required a charge of £10 will be applied.

I have read, understood and will comply with the above terms and conditions ^*

In order to process your form, you will need to agree to the Terms and Conditions.

You have the right of access to the personal information that the Council holds about you. Contact the Data Protection Officer on telephone 01372 732000 or write to: Data Protection Officer, Epsom & Ewell Borough Council, Town Hall, The Parade, Epsom, Surrey, KT18 5BY.