Fillable Wisbech Town Council APPLICATION FOR AN ALLOTMENT Please (Wisbech Town Council)

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Wisbech Town Council APPLICATION FOR AN ALLOTMENT Please (Wisbech Town Council)

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Wisbech Town Council
APPLICATION FOR AN ALLOTMENT
Please print clearly
Name: ……………………………………………………………………………………………
Address: ………………………………………………………………………………………..
…………………………………………………………………………………………………….
Postcode: ……………………
Preferred contact
Tel No: (home) …………….…………….
and/or (mobile) ………………………..………..
Email: …………………………………………………………………………………………....
I wish to apply for an allotment at: - (Please indicate site preference)
Site 1
st
choice 2
nd
choice
Cox’s Lane
Dowgate
Mile Tree Lane
Southwell Road
FULL
FULL
Waterlees Road
Halfpenny Lane
Size of plots may vary and are negotiable
Signed: ……………………………………………
Date: ………………………………………………
Please note:
This application form is not an official tenancy document.There is no intention to create a legally
binding agreement with Wisbech Town Council until the appropriate Allotment Tenancy Agreement has
been completed and signed by you and a Council Officer at which time an administration fee of £5.00
will be payable.
All sites are accessed by locked gates. A deposit (refundable) of £10.00 is payable for each key
required by tenants.
Please return this form to:
Wisbech Town Council, Town Hall, 1 North Brink, Wisbech, Cambridgeshire PE13 1JR
Email info@wisbechtowncouncil.gov.uk
Data Protection: the above details will only be used by Wisbech Town Council
to contact you regarding your allotment application; they will not be used for any other purpose.
Thank you for your interest. We will contact you within 7 days of receipt of this application.
WAITING LIST
WAITING LIST
WAITING LIST
WAITING LIST
Wisbech Town Council
General Data Protection Regulations
Allotment Tenants Privacy Notice
T
o be signed and returned with your Allotment Tenancy Agreement: Consent to hold
Contact Information
• I
agree that I have read and understood the Wisbech Town Council Privacy Notice.
• I
agree by signing below that the Council may process my personal information for
providing information and corresponding with me.
• I
agree that Wisbech Town Council can keep my contact information data for
an
undi
sclosed time or until I request its removal.
• I
have the right to request modification on the information that you keep on record.
• I
have the right to withdraw my consent and request that my details are remov
ed
f
rom your database.
Name
Address
Telephone No.
Email Address
Signature
Date
For
office use only:
Date
Data
received
Date consent
received and
approved for data
to be held
Data
received as
Phone,
email, hard
copy or other
Data
approved to
be shared
with the
below
Removal of
consent
received
Date data
disposed of
and method
of disposal
actioned
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Wisbech Town Council APPLICATION FOR AN ALLOTMENT Please (Wisbech Town Council)

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Completed 7 February 2021

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