Parking Cancellation Form

PARKING CANCELLATION FORM
Please fill out this form to cancel your parking bay at Perth Markets. It is important for us to know which bays are no longer being utilised so we are able to reallocate them to other applicants who may be on a waiting list.
BAY OWNER TO COMPLETE
Bay Type to be cancelled*

Tenant / Tenant EmployeeBuyer (Car/Ute)Buyer (Truck/Buyer Bay)
Bay Number/s*
Contact Name*

First NameLast Name
Company Name*
Trading Name*
Buyer Code*
Address*

Street Address

Street Address Line 2

CityState

Post CodeCountry
Mobile*
Email*
example@example.com
Reason for Cancellation*
BANK DETAILS
You may be eligible for a refund of your parking fee calculated from the date of this form until the end of this financial year. You must return your parking permit as a condition of eligibility. Please provide your BSB, Account Name & Number so PMG can issue you a refund if eligible.
Account Name
Account Number
BSB
DECLARATION
I understand that as of the date below, I am no longer permitted to park in the above bay for any reason and doing so may incur a warning notice or sanction. This bay will be reallocated to other applicants as demand dictates. I consent to the collection and use of my personal information in accordance with the terms of PMG’s privacy policy.
Signature*

Clear
Print Name*
Date*

DayMonthYear
Date
---- PMG OFFICE USE ONLY ----
Received By
Name
Date Received

DayMonthYear
Date
Permit Returned ?

YesNo
Cancellation Complete

YesNo
Should be Empty:

PARKING CANCELLATION FORM