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Name*
Organisation

(if applicable)
Your address*
Post code*
Telephone*
Email*
How did you hear about Community Payback?
About your site suggestion
Check the box if the project meets the criteria shown: *
- It will benefit the local community
- It will not take paid work away from others
- No one will make a profit from the work
- It will be worthwhile and constructive
- Offenders will be seen to be positively contributing to the local community
When would you like the work to start?
- 1-3 months
- Don't mind
Project name*
Project location*
Brief description of the work you want done*

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