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House to House Collections Application
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Applicant's Details
Applicant's Details
Use Of The Form
This form can be completed on-line.
It should then be printed and returned to the council. Please complete all relevant sections of the form.
Applicant's Details
Title
Forenames
mandatory field
Surname
mandatory field
Telephone
Email Address
mandatory field
Address Line 1
mandatory field
Address Line 2
Address Line 3
City / Town
mandatory field
County
Postcode
mandatory field
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