Payment in Lieu of Parking Plan - Submission Form Privacy The Town of East Fremantle is collecting your personal information for the purpose of responding to your request. Some of the information may be provided to Town Contractor's for the purposes of addressing your request. Your information will not be provided to any other person or agency unless you have given us permission, or where legally obligated to do so. If you would like to know more about how the Town handles your personal information please see the Town's Privacy Statement and Collection Notice. Please complete the sections below. Name(s)*This field is required. * Required Field. Address*This field is required. * Required Field. Postal Address (if different from above) Telephone*This field is required. * Required Field.* Please add a valid phone number Email*This field is required. * Required Field.* Please add a valid email address Date Enter comments here*This field is required. * Required Field. Privacy: Please note: your personal information will not be disclosed, made public or included in any agenda report. Additional Information If you wish to upload any additional information including correspondence, photographs etc please click on the button below. Further information Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Type the code from the image: The code you entered is not valid. Get Audio CodeType the code from the image