Application for an Allotment

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					Application for an Allotment.               Claydon with Clattercote Parish
Council

(Please delete or fill in as appropriate)
                                       Please write clearly!
I /We wish to apply for 1 or 2 plots of the Claydon with Clattercote Allotments

Name(s) 1.

2.

Address
1.


 post code
Address
2.




post code

Contact details: tel:
  1.
     e-mail
   2 tel:


       e-mail

The Rent per plot is currently £5 payable annually.
On offer of a plot you will be required to sign a Tenancy Agreement setting out Terms and
Conditions.

     Date of Application :

     Received:


Please return this form to the Parish Clerk, Mrs. Sue Upton,
at       The Red House, School Lane, Great Bourton, Banbury, OXON OX17 1QY

email enquires: claydonwithclattercotepc@yahoo.co.uk TEL. 01295 758398

If you subsequently wish to withdraw from the waiting list, please notify us in writing by
returning your copy of this application with your intention to withdraw.

Or by email, with details.


13th January 2010                           Sally Leszczynski (Chairman Bourton Parish Council)
Plot allocated No.   .   Tenancy signed                   date:




13th January 2010               Sally Leszczynski (Chairman Bourton Parish Council)