Full name (signboard owner)*

Name of trading establishment or other business*

Previous year’s receipt number*

Address*

Telephone number*

Sign type*

 Thai lettering only

 There are Thai characters mixed with foreign characters or signs.

 Signboard with no Thai lettering

Sign size/width cm.*

Signboard size / length (cm)*

Signboard area (square centimetres)*

Number of signboards*

Brief description of the text, images or symbols displayed on the signboard*

Place of installation and date of installation (show sign).*

Notes*