Street appeal application form

Use this form to apply for a licence to hold an annual street appeal.

Please be aware some dates are in high demand and your first choice of date is not guaranteed.

National charities that have a designated Street Appeal date will be given special consideration.

1. Name of organisation *This question is required.

2. Is this organisation listed as a national charity? *This question is required.

First name of contact person *This question is required.

3. Last name of contact person *This question is required.

4. Email *This question is required. This question requires a valid email address.

5. Phone number *This question is required.

6. What is your preferred date to hold your street appeal? *This question is required. This question requires a valid date format of DD/MM/YYYY.

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7. Alternative date (if your preferred date is not available) This question requires a valid date format of DD/MM/YYYY.

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Is there anything else you'd like to tell us?