Axminster Town Council - Allotment Application Form

Your Information

Please provide your contact information

Question Title

* 1. Do you live or work within the parish of Axminster? Please note, you must live or work in Axminster to be eligible for an allotment plot.
Please select all that apply.

I live within the parish of Axminster.

I work within the parish of Axminster.

I am not sure if I live or work within the parish boundaries.

I do not live or work in Axminster.

Question Title

* 2. Please provide your contact information.

Name *

Address *

Address 2

Town *

Postal Code *

Email Address *

Phone Number *

Question Title

* 3. If you do not live in Axminster, but work here instead, Please provide the following information about your place of work. If you live in Axminster you can skip this question.

Company

Address

Address 2

Town

Postal Code

Question Title

* 4. By registering your interest in taking on an allotment, you permit Axminster Town Council to contact you via any of the supplied information in relation to your position on the allotment waiting list or your allotment tenancy.

We will not contact you about matters unrelated to the allotments.

When we correspond with you in writing, we usually do so by email as it is better for the environment. Please tell us if you would prefer us to write to you by post.

I am happy for you to email me.

Please write to me by post instead.

Question Title

* 5. Occasionally, we may need to reach you by phone to talk to you about the allotments. Please confirm you are happy for us to do so.

Yes, I'm happy for you to contact me by phone.

No, do not contact me by phone.

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33% of survey complete.