(PLEASE USE BLOCK CAPITALS) Person to be visited Name: .......................................................................................................................................... Address : ........................................................................................................................................ ........................................................................................................................................................ Post Code : ............................................ Telephone No. : .............................................................. Relationship to Visitor: .................................................................................................................. Visitor Name: .......................................................................................................................................... Address : ........................................................................................................................................ ........................................................................................ Post Code : ............................................ Vehicle Registration No’s (Maximum of 2 vehicles) Note: Please read carefully Only ONE Family Permit will be issued to any one household. A Permit WILL NOT be issued should any member of the applicant’s household hold a Resident’s Parking Permit. The permit will be issued for a 12 month period only, and the old permit MUST be surrendered before a new one will be issued. Permits can only be issued or renewed Monday - Thursday 8:30am - 5:00pm, Friday 8:30am - 4:30pm Either by post or at the Parking Shop, 30D Aberafan Shopping Centre, Port Talbot SA13 1PB. Self-addressed stamped envelope must be included with all postal applications or application will not be processed. I sign this application form knowing that I shall be liable to prosecution if I have wilfully stated in it anything, which I know to be false or do not believe to be true. Signed : ..................................................... (Signature of Applicant) Date : ........................................... Doctor: I confirm that ................................................................................... requires constant visits from ........................................................................................................ due to age and/or infirmity. Signed: ......................................................................................................................................... Application for Family Parking Permit Permit No. Issue Date: Expiry Date: Old Permit: Send to: The Parking Shop, 30D Aberafan Shopping Centre, Port Talbot SA13 1PB. Tel: 01639 892937 Fax: 01639 892981 Office Use ENVT0500