Application Form for On-Premise Sign

Please enter information on the form below to process subscription for Application Form for On-Premise Sign.

SECTION 1 - APPLICATION DETAILS

Application Type *

Display Format *

Application Mode
*

Single Tenant Static Sign for New Application

Single Tenant Static Sign for Additional Application

Multi Tenants Static Sign for New Application

Multi Tenants Static Sign for Additional Application

Single Tenant for LED Sign

Multi Tenants for LED Sign

Do you have picture(s) of the product/services on your sign?

Type of Sign

Size of Sign: (Width x Height) meters *

Quantity *

Upload Picture *

Add Extra Sign +

2. Type of Sign

Size of Sign: *

Quantity *

3. Type of Sign

Size of Sign: *

Quantity *

4. Type of Sign

Size of Sign: *

Quantity *

5. Type of Sign

Size of Sign: *

Quantity *

SECTION 2 - APPLICANT INFORMATION

Name of Company/Business *

Address *

Sign Location (if different from Business Address)

Property Owner’s name *

Applicant’s Name: *

Email *

Phone *

SECTION 3 Payment Information

Application Fee

₦‎

Paystack Charges

₦‎

Total Amount

₦‎

Payment method (Use transfer option on Paystack for payment above ₦100,000)

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

Application Form

https://lasaa.lg.gov.ng/application

About

Quick links

Our Headquarter