Leafing bin scheme

Leafing Bin Scheme

1Using this form

2Your details

This form will ask you to provide

Your name
Your address
Your email address
Your contact telephone number

Privacy Statement

The information provided in the leafing bin scheme form will be used solely by the council for the purposes of processing applications for the scheme.

This data will be used to sign applicants up and either arrange a new bin to be delivered, a collection or cancellation of the service.

We may contact you to ask if you would like to be involved in providing feedback on the scheme, or for information/content to promote the scheme.

We will ensure that all the information you provide is stored securely and in accordance with data protection law.

Please refer to our Corporate Privacy Notice for further details on how we process your personal information and your rights. This is also available in other formats (e.g. print).

Your details

Name(Required)

First Last

Postcode(Required)

Search Postcode

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address

Address(Required)

House name/House No./Flat no Address line 1 Address line 2 City Postcode

Contact telephone number(Required)

Email address(Required)

Enter Email Confirm Email

Please select one of the following options:(Required)

New leafing bin

Collection

Return a bin (service no longer required)

Are you happy for us to contact you next year when the scheme reopens?

Yes

No

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Staff ID

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