Allotment Application Form Fields marked with a red asterisk are mandatory.
Title * Mr Mrs Miss First Names * Surname * Date of birthDay MonthMMJanFebMarAprMayJunJulAugSepOctNovDecDD12345678910111213141516171819202122232425262728293031Year Address line 1 * Address line 2 Address Line 3 Postcode *
Telephone number *Please do not put any spaces in your telephone number
Email address
Which allotment sites are you interested in having an allotment plot at?
First site choice * Please Select ...Beacon HillCarr LaneLittlecoatesPeaksfieldSaltingsSpringfieldWeelsbyWinchester Second site choice * Please Select ...Beacon HillCarr LaneLittlecoatesPeaksfieldSaltingsSpringfieldWeelsbyWinchester
If there are no plots available at these sites do you wish to go on the waiting list? *	Yes No
Please note this application form is not an official tenancy document. There is no intention to create a legally binding agreement with the Council until the necessary Allotment Tenancy Agreement is signed by you and returned to the Council. Access is only permitted to the allotments for viewing purposes and for no other reason.

DATA PROTECTION NOTICE
North East Lincolnshire Council is a Data Controller for the purposes of the Data Protection Act 1998. Any personal information supplied on this form will be processed in accordance with the principles of the Act. If you want to find out more about your rights under the Act, you can contact the Office of the Information Commissioner (tel: 01625 545 700 / http://www.dataprotection.gov.uk) or the Director of Law and Democratic Services on 01472 313131.