North Northamptonshire Community Governance Review - Page 1 of 4 - North Northamptonshire Council

Page 1 of 4

About you

If you would like to make a submission on more than one area, please complete a seperate form for each submission.

1. Which parish/ town council area does your submission relate to?

Parish (Required)

2. Are you responding as:

(Required) A Town or Parish councillor A representative of a Town/Parish council A North Northamptonshire Councillor A local resident A representative of a community organisation A business owner A representative of a local residents' association, group or forum Other (please give details below)

3. Contact Details

Please provide your contact details below. We collect this data so that we can contact you if we have any queries about your feedback or proposals and so that we can keep respondents up to date about progress of the review and provide details of the recommendations. Details of submissions received may be published as part of the review process, but personal details (eg your name or contact details) will not be published. The names of organisations or businesses responding to the review may be published. Personal details provided in this form will only be used for the purposes of the review.

Name (Required)

Name of your organisation or business (where relevant)

Email address and/or phone number (Required)