Please em
ail this completed form to the township where you'd like to raise a flag:
Rochdale township:
Middleton township:
Heywood township:
Pennines township:
nd out h
ow we use your personal information at
Section 1
: Flag raising details
Where would you like to raise a flag?
Which fla
would you like raising?
What date
would you like the flag raising? We require at least 2 weeks’ notice
What’s your reason for requesting a flag to be raised?
Request to raise a flag
Section 2: Your details
First name:
Last name:
Email address:
Contact t
elephone number:
Are you re
questing on behalf of an organisation?
Yes No
If yes, what’s the name of your organisation?
If yes, please provide details of your organisations, including type of organisation such as charity or
political group and the type of work you undertake.
Castleton Village Memorial - Rochdale Township