Your Name:

Business / Organisation Name:

Type of Business / Organisation:

Commercial / Private Business
Landowner
Managing Agent
Community / Voluntary Sector Organisation or Group
Public Sector Organisation

Email Address:

Phone Number:

Harlow Town Centre Property Address (if applicable):

Post Code

User Agreement

Please tick to confirm that by continuing, you agree to share your details with Harlow Council who will collect and process the personal information you provide within this form in order to provide the service(s) you have requested, including in order to investigate your complaint/query. 

For more information on how we collect, use and protect personal information generally, as well as your rights as a data subject and our record retention policy please view our main privacy notice on our website by visiting www.harlow.gov.uk/privacy