Name of organisation

Type of organisation

If other; please detail

Contact name

Contact phone number

E-mail

Confirm e-mail

Full postal address

Postcode

Which day and date would you like to hold a collection

What time would you like us to arrive

Please advise how the bags are being returned

How many collection bags would you like us to deliver

If bags are being donated on the day; how long would you like us to stay

Would you like to get the community involved by delivering leaflets locally

If yes; how many leaflets do you need

If your organisation is VAT registered; please provide your VAT number

Have you held a clothing collection in the past

If yes; who was it with

Additional Information

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