Membership application / Renewal form

Name*

First NameLast Name

Organisation/Company name (Group application only)

Address*

Street Address

Street Address Line 2

CityCounty

Post code

Email*

example@example.com

Mobile phone number*

There are different rates for renting a raised bed, please select the one you are applying for. (Only the small beds have full wheelchair access):*

Individual unwaged rate, small bed - £5Individual unwaged rate, large bed - £10Individual waged rate, small bed - £10Individual waged rate, large bed - £15Group rate, small bed - £20Group rate, large bed - £25

Are you or your group currently a member of the GHCGG? (All raised beds tenants must be members of GHCGG, see below for membership rates).*

YesNo

Do you or the members of your group already have access to a growing space (e.g. a garden or allotment) to grow vegetables in?*

YesNoOther

Do you or the members of your group have any transport or mobility issues that would prevent you from taking up the offer of another growing space elsewhere in Norwich (e.g. an allotment)? *

Do you or any of the members of your group have a disability? If yes, do you require a wheelchair accessible bed? *

I / We agree to abide by the rules of the GHCGG concerning tenancy of raised beds (including organic cultivation) if given the offer of one.

Signature *

Use your cursor or finger to sign

Date*

Send no money now: Payment is to be made by successful applicants upon signing a tenancy agreement. The annual membership fee is £3 (unwaged individual), £10 (waged individual) or £15 (group).

Tenancy Agreement: Prospective tenants should be aware that the garden will be open to the public and that the GHCGG will not be held responsible for any loss or damage to the contents of the raised beds. The terms and conditions of renting a raised be are in the Tenancy Agreement or you can request a copy by emailing us at contact@grapeshillcommunitygarden.org. A separate comprehensive list of organic gardening principles is also available.

Data protection: The Data Protection Act requires organisations or agencies collecting personal data on individuals to gain their consent before collecting, storing, publishing or analysing their data. By completing and signing this raised bed application form for Grapes Hill Community Garden Group (GHCGG), you are giving your consent for your data to be stored and used by GHCGG. All data will be treated with the strictest confidence and will only be used for legitimate GHCGG purposes, see our Privacy Policy.

Raised Bed Application Form