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New Banner Site Application

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Please complete all fields marked *. Hover your mouse over anyExample of help marks for additional help.

Your Details


 

Proposed Banner Site Details

This application only applies to one site. Multiple requests will have to processed on a one site per application basis.

 
Site Type *

 
If approved, would you like to book site space at this site? If yes, please complete Banner Details section below. *

Banner Details

If you wish to display a banner at this site, please complete the following section


 
Banners can only be booked in 2 week periods running from Sunday to Sunday. Please ensure that the dates below follow this criteria

 
Organisation type

 

Other required documentation

You are also required to submit the follow information

  • Public Liabability Insurance Document covering up to 5 million
  • Sketch or photo of the banner


  • When this form is submitted you will receive a confirmation email from Surrey County Council. You will need to reply to this email and attatch these documents.

     
    By submitting this form you have read and understood the terms and conditions of the website and agree to comply with them in all respects.
    Please note that all applications are processed on a strictly "First come, first serve" basis and this form does not grant permission for the erection of a banner. We will notify you of the outcome of your application in due course.
    Please make your selections
    Item Item cost Quantity Amount
    Request for new banner site on the highway * £110.00 £110.00
    Administration fee for occupying banner site £26.00 £0.00

    Payment required

    How do you wish to pay? *
    To continue to pay by debit or credit card online, please choose how you wish to pay, then click "Submit".

     
    All our online payments are handled by our partner, WorldPay. All communication between the shopper and WorldPay is encrypted to the maximum strength supported by the shopper's browser using 128 Bit SSL.
    If you have completed all the fields marked *, then please click "Submit".

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