REGISTER FOR THE "GROW YOUR OWN" PROJECT - STEP 1

YOUR DETAILS
Title :	Please Select Mr Miss Mrs Ms Lady Dr Lord Sir
First Name :
Last Name :
Address Line 1:
Address Line 2: (optional)
City:
Postcode :
Telephone :
Email :	We need your telephone and email in case we need to contact you regarding your registration.
ABOUT YOUR SPACE
To make sure we provide you with the most suitable container for growing your own food, please tell us how much space you have to grow food.
Space Available :	Please Select Garden Balcony Window Box outdoors Window Ledge indoors
Please let us know what kind of container you have space for. Container sizes are listed below.
Container Type :	Please Select LARGE - 59cm (L) x 39cm (W) x 29cm (H) WINDOW BOX PLANTER - 60cm (L) x 18cm (W) x 21cm (H) POTS FOR WINDOWSILL - Up to five 10cm pots
Space Details :	It there's anything specific about the space you have available that you think would be useful for us to know, please type it below. For example, if you choose the Window Box option yet you only have space for a 40cm wide box, please tell us.
How Did You Hear About This Project?
PAYMENT DETAILS
You can choose to pay securely online now and pay just £5 or pay the standard membership fee (£8) direct to your local Street Rep when you collect your kit.
How would you like to pay?	Please Select Online with my Credit/Debit Card - £5 Directly to my local Street Rep - £8