Rural Community Connection Consultation - Page 1 of 5 - Melton Borough Council

About You

1. Please confirm your name:

This survey can be completed anonymously, please leave this box blank if you do not wish to leave your name

2. Please confirm your age:

(Required) 17 and under 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 or over

3. Please provide your postcode:

(Required)

4. Contact Details

Phone Number

5. Please let us know if you are willing for us to contact you.

I would like to receive general news and updates from Melton Borough Council by email. I would like to receive news and updates that relate to businesses within Melton borough.

Please enter your email address here if you have ticked any of the boxes above