Application for Graffiti Safewipes - 6 pack

*Please note that the City of Vincent requires applicants to provide a police report number for the incident(s) of graffiti vandalism on their property before submitting this application.

The quickest way to make a report is through the WA Police Force website.

Full Name*

Business/Organisation Name

Street Address*

Suburb*

Phone*

Email*

Police Incident Report Number*

Have you previously received graffiti removal products through this program?*

YesNo

How can we get this product to you?

All contact with chemicals, tools and personal safety are the responsibility of the person/s actioning graffiti removal. The City of Vincent accepts no responsibility for any injury or accident which may occur during graffiti removal activity.*

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Application for Graffiti Safewipes - 6 pack

*Please note that the City of Vincent requires applicants to provide a police report number for the incident(s) of graffiti vandalism on their property before submitting this application.

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