PARKING SERVICES
REPRESENTATION AGAINST
SERVICE OF PENALTY CHARGE NOTICE
PENALTY CHARGE NUMBER:
DATE OF REPRESENTATION:
DETAILS OF REPRESENTATION:
IS PENALTY CHARGE ATTACHED?
YES
NO
IS PAY AND DISPLAY TICKET ATTACHED?
YES
NO
OTHER ENCLOSURES, (PLEASE SPECIFY):
NAME OF DRIVER:
MR
MRS
MISS
MS
ADDRESS OF DRIVER:
TOWN:
COUNTY:
POSTCODE:
TELEPHONE NO
I CERTIFY THAT THE INFORMATION CONTAINED IN THIS REPRESENTATION IS TRUE AND
ACCURATE TO THE BEST OF MY KNOWLEDGE AND BELIEF.
SIGNED
E-MAIL ADDRESS
Please complete and return to: [email protected]; or White Cliffs Business Park, Dover CT16 3PJ