Current Start Preview Complete Information message Filling out this form will email the relevant department Your details Business Rates account number Name Customer name Title Title - Select -MissMsMrMrsDrOther… Enter other… First name Last name Address Customer address Address Address 2 City/Town Post Code Contact Telephone number Email address Business details Business name Name Business address Address Address Address 2 City/Town Post Code Other details Type of business Request details Type of request I want to apply for Expanded Retail discount I want to apply for a Nursery discount I don't qualify for Expanded Retail discount I don't want to claim Expanded Retail discount Provide a reason why 15295
