Hugglescote and Donington le Heath Neighbourhood Plan Submission Consultation - Page 1 of 7 - North West Leicestershire

PART A – Personal Details

If you are responding on behalf of yourself, or your own organisation, then please fill in all the boxes below.

If an agent is appointed, please complete only the client's Name and Organisation boxes on the page below, but complete all of the agents details on the next page.

Name

Title

First Name

Last Name

Job Title (where relevant)

Organisation (where relevant)

Address

Line 1

Line 2

Line 3

Line 4

Postcode

Telephone

Email address