Joint Allotment Declaration Form | Witley & Milford Parish Council

Allotment Site

Allotment Garden No

Payment Method:

BACS Transfer Cheque

Full Name (Primary Contact)

Address (Primary Contact)

Home Tel Number (Primary Contact)

Mobile Number (Primary Contact)

Email (Primary Contact)

Are you happy for us to contact you by email (Primary Contact)?

Yes No

Are you happy for us to pass on your email details to your allotment management group representatives (Primary Contact)?

Yes No

Do you have existing chickens/pigeons on your Allotment Garden?

Yes No

If YES – please complete the Livestock/Poultry Agreement.
If NO but you wish to – please complete the Livestock/Poultry Agreement for permission.

I have read and understood the Allotment Tenancy Agreement and agree to comply with the same. (Primary Contact)

Full Name (Secondary Contact)

Address (Secondary Contact)

Home Tel Number (Secondary Contact)

Mobile Number (Secondary Contact)

Email (Secondary Contact)

Are you happy for us to contact you by email (Secondary Contact)?

Yes No

Are you happy for us to pass on your email details to your allotment management group representatives (Secondary Contact)?

Yes No

I have read and understood the Allotment Tenancy Agreement and agree to comply with the same. (Secondary Contact)

By submitting this form, you confirm that you have read and are agreeing to our Privacy Notice regarding the storage of the data submitted through this form.

Please note that Witley & Milford Parish Council will only hold your personal data for the purposes of this agreement and will not pass your details onto any third party without your consent. Your details will only be shared with the allotment sub-committee representative if you specifically consent to this by ticking the box above.