Mandatory fields are identified with

Please use this e-form if you wish to pay online with a credit/debit card for the kerb outside you home to be lowered.
If you wish to pay for the cost of this service by any other method, please return the tear off slip on the quotation letter.
Please note: This online payment facility is only available for customers who are -
a) In receipt of a quotation.
b) Wish to pay the total cost of the quotation in full.