Parkwise Privilege Parker Application




General Terms

The Agreement is made between the following parties:

Shogunn Investments Pty Ltd ACN 120 226 646 trading as Parkwise
of Level 1, 10 Kings Parks Road, WEST PERTH WA 6005
Telephone no: +61 8 9463 6688
Facsimile no: 61 8 9463 6689
Email address: info@parkwise.com.au

and

Account Name*
(Company Name or if Individual, Parker Name)
Street Address*
Street (continue)
Street (Continue)
Suburb*
Postcode*
   
Please provide Company ABN or if individual, please supply your Drivers Licence No. At least one of these items needs to be provided.
Company ABN or Drivers Licence No (if individual)*
   


Parker Details

Parker's Contact Name*
(Company Name or if Individual, Parker Name)
Email*
Telephone Number*
Facsimile Number
   


Parking Territory

Select your car park*
Priviledge Parker Card*
How many Privilege Cards are required on this account?*
$12+GST fee applies per card
   


Postal Address

Please supply your postal address for the start-up kit and card delivery. Allow up to 2 working days to receive you kit in the post
Postal Address*
Postal Address (continue)
Postal Address (Continue)
Suburb*
Postcode*
   


EasiPay Direct Debit & EBill Request
Easipay Direct Debit or EBill Request is the only method of payment accepted for a Privilege Parking Account.

EBill Statement Email Address*
   

DIRECT DEBIT

I/We request that monies due to Parkwise under the terms of my Priviledge Parker Agreement be drawn under the Direct Debit System from my account

Preferred method of payment  Savings or Cheque Account Credit Card

TERMS AND CONDITIONS
Please click here to view the Privilege Parker Terms and Conditions I have read and agree to the Privilege Card Terms and Conditions*

Input this code*
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