Title* —Please choose an option—MrMrsMissMsDrLordSirLadyEarl

First Name*

Surname*

Address Line 1*

Address Line 2

Town*

Postcode*

Phone Number*

Your Email*

First Choice of Location* —Please choose an option—Alderley Farm, West StreetFarnborough Road, off Weybourne LaneMorley RoadWrecclesham, off RiverdaleShepherd and Flock roundaboutSix Bells roundabout, Hale RoadWest StreetWest Street extension

Second Choice of Location* —Please choose an option—Alderley Farm, West StreetFarnborough Road, off Weybourne LaneMorley RoadWrecclesham, off RiverdaleShepherd and Flock roundaboutSix Bells roundabout, Hale RoadWest StreetWest Street extension

Are you a:* ResidentNon-Resident

I give consent for my personal information to be stored and used by Farnham Town Council for any communication required and to be passed on to the Site Representative once I’m allocated a plot* Confirm

* Required fields