Online Form - Business Advertising Signage on Shire Managed Land Application

Applicant Details

Full Name*

Title/ Position

Company Name*

Trading Name of Business

Business Address/es

Postal Address

Postal Address:

City:

State:

Post Code:

Country:

Contact Number - BUSINESS*

Contact Number - MOBILE

Contact Number - HOME

Email*

Request Information

Text to be displayed*

Upload photos if available

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

Sign Type - Refer to Policy CP/OPS-3658 for Details of Various Signage Types*

Further Details (if required)

Signage Location

Requested Location 1*

Requested Location 2

Map Upload (if applicable)

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

I have read Council Policy CP/OPS-3658

Please type your name and position below to signify that you agree that all information given above is true and correct at the time of submission*

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