Directional signs

Please note, this form is for payment of directional signs which have been applied for, and approved, by the City.

To be completed by an authorised person on behalf of the organisation

Business Name(Required)

Contact Name(Required)

Mobile phone no.

Business phone no.(Required)

Application reference provided by the City

Request reference (begins with: RIM)(Required)

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Request reference

Number of signs(Required)

Number of signs as approved by the City. NOTE: Sign installations are $300 per sign.

Total

Credit Card(Required)

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

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Payment Type

Comments

This field is for validation purposes and should be left unchanged.