Rustington - Allotment Tenancy Application Form

Please tick each of your preferred sites

I the undersigned, hereby make an application to the Rustington Parish Council for the tenancy of an allotment on one of the following sites::

Conbar Avenue Penfold Lane Worthing Road

1. Your Full Name - Plus please don't forget to tick your Site Preference(s) above:

2. Address incl. Postcode - Please note ONLY RUSTINGTON RESIDENTS can apply (required):

3. Home Telephone:

4. Mobile:

5. Email:

Have you had or do you still have an allotment in the area? If yes:-

a. Details of the owner of the site:

b. What is the size and condition of the allotment?:

c. Are you quitting the allotment and if so when?:

d. Have you previously rented an allotment in Rustington?:

e. If yes, give details:

In the event of my application being granted by the Parish Council, I agree to sign any form of tenancy agreement required by them.

Signed - Have you ticked your site preference(s) at the top of the form?:

Dated:

Please view our Privacy Notice for full details of what we do with your data. However, we will use the data collected through this form to provide the requested service, we will not share it unless the law permits and we will dispose of it within 1 year of the end of your tenancy with us.

Allotment Tenancy Application Form

Please tick each of your preferred sites

Have you had or do you still have an allotment in the area? If yes:-

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