New Customer Parking Form

Company

Name *

Name

First Name

Last Name

Email *

Phone *

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parking Zone *

Number of Bays Required *

$50/wk each +GST.

Payment is in advance, payable by direct debit on 1st of month.

Accounts queries admin@southtown.nz.