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Your details

Name

Customer name
Title

Address

Customer address

Contact


Other details


Allotment details

Previous or current site details

Have you previously had an allotment plot in Wolverhampton?
Do you currently have an allotment plot in Wolverhampton?

Wanted site details

Please select the site closest to where you live from this drop-down box.

Declaration

I understand the information provided by me on this form is correct, and that the details contained within it may be shared with other Council departments; only my name, contact number and email will be shared with an allotment site contact.
 

Full details of the Council’s GDPR can be found on our Information Governance page

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