Community Group Service Request Form

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Contact Details
1. Group Name
2. Contact Name
3. Email
4. Flat name/number (optional)
5. Building name/number
6. Address
7. Town/City
8. Postcode
9. Phone number
About the Event
1. Event Date
2. Label
  
  Start Time (24hr)
  
  Minutes
3. Label
  
  End Time (24hr)
  
  Minutes
4. Clean Up / Routes Streets
  You can enter up to 350 words
5. Number of expected adults
6. Number of expected children
7. Refuse uplift location
  You can enter up to 150 words

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