Application to Rent a Council Garage.

Anyone can apply to rent a garage from us for their own personal use but not for commercial activities.
See information on Renting a Garage before filling out this form.

Applicants name and address details

* = Required Information

Mr / Mrs / Ms *	Mr Mrs Ms

First Name: *

Initial:

Surname: *

eMail Address:

Date of Birth: *

National Insurance number: *

House Number Name: *

Street: *

Post Town: *

Post Code: *

Telephone Home:

Telephone Work:


Are you a Basildon Council tenant or leaseholder?	Yes No

Applicants vehicle details

Registration Number of Vehicle: *

Do you own the vehicle for which the Garage is intended? *	Yes No

Applicants preferred garage location

Please enter the number of your preferred garage area with block number, include the street name and be as
specific as possible. This will help speed up the allocation process.

1st Choice Location: *

2nd Choice Location:

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