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Online Form - Airport Residential Parking Card

PMB 22 Newman WA 6753

Ph: (08) 9175 8000

Office Hours Mon-Fri 8:30 to 4:30

Please sign and then attach these
Terms and Conditions to your
application:

Terms and Conditions

Full Name*

Address

Street Address:

Town:

State:

Post Code:

Country:

Contact Number*

Email*

Proximity Card Required*

Proof of Identity*

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Proof of Local Residency*

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Existing Card Number (if applicable for renewal)

I have attached the Terms and Conditions that are located at the top of this form*

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Declaration*

I declare that all information provided is true and correct and understand it is against law to falsely provide incorrect information.

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