Application for Skip Bin Permit Any skip bins that are to be placed on Town of East Fremantle land (i.e verge areas and/or carriageways) must be approved before they are delivered. A skip bin approval, for a maximum of four weeks, will be issued at a cost as per the Town's Schedule of Fees and Charges. Should you require the bin for longer than four weeks, you will need to reapply for an extension of the permit. Please note there is a cost as per the Town's Schedule of Fees and Charges. Name*This field is required. * Required Field. Company Name (If Applicable) Residential / Business Address - Address where skip bin is to be placed if approved*This field is required. * Required Field. Phone Number Mobile Phone Number*This field is required. * Required Field.* PLease enter a valid mobile phone number Email Address*This field is required. * Required Field.* Please enter a valid email address Size of Skip Bin (Cubic Metre)*This field is required. * Required Field. Date bin is to be delivered*This field is required. * Required Field. Date bin is to be collected*This field is required. * Required Field. If you have a photograph of the area where the skip bin is to be placed, please attach it here 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 Location RoadVerge Signature * Required Field. Date Type the code from the image: The code you entered is not valid. Get Audio CodeType the code from the image