Services Contact Form

Services Contact Form
Do you work in horticulture?*

YesNoRetired from a career in horticulturePreviously worked in horticulture (Please note, we are only able to support those people who have left a career in horticulture due to redundancy, a long-term health condition or because of caring responsibilities)
This form is for requesting help from our Services team. For other topics, such as fundraising or garden visits, please use our General Enquiries Form instead.
Name*

TitleFirst nameLast name
Email address*
Phone number*
Address*

Address line 1

Address line 2

City/TownCounty

Postcode
Date of birth (please type)*

DayMonthYear
Area of horticulture
Employment status
Have you been in touch with our Services team before?*

YesNoNot sure
Please tell us more about why you are contacting Perennial, including any issues or difficulties you are experiencing and/or information you're looking for.*
We have a Debt and Money Advice Team offering advice, information and help if you are struggling to make ends meet or if you have debts. Would you like a member of the team to contact you to see how we can help you? The service is completely free and confidential.

YesNo
Have you experienced any of the following life events in the last 12 months?*

BereavementHousing issuesHealth-related issue / accident or injuryRedundancyRelationship or family difficultiesRetirementTraumatic eventNone of the above
Do you have any communication or support needs we should be aware of?
Thank you for taking the time to contact us. We will be in touch shortly.
Services Contact Form v1.3 last updated 25/03/2024
Should be Empty: