Client registration form

What is your preferred language to communicate with us?(Required)

Main Contact Name(Required)

Position held (if you have one)

Group name (if you have one)

Email(Required)

Telephone(Required)

Group Address line 1(Required)

Group Address line 2

Group Address line 3

Town/City

County(Required)

Postcode

Is this address also your correspondence address?(Required)

Correspondence Address line 1

Correspondence Address line 2

Correspondence Address line 3

Town/City

County

Postcode

What stage do you consider your idea to be at?(Required)

If you don’t fit into any of the above, briefly describe what stage you are at?

What is your CLH idea? What are you trying to achieve?

If your plans are achieved, what do you think the benefit, if any, will be to the wider community?

How would you rate your knowledge about Community-Led Housing?

If the above list does not cover what you need, please describe what would be helpful for you.

Communities Creating Homes: Client Registration Form