Contact details *

First Name

Last Name

I am the:

Owner of this site

Tenant of this site

Manager of this site

Or:

I am not the owner/tenant/manager of the land shown on the attached map.

Survey permissions:

I give permission for a survey to be carried out. There is no need to contact me again

I give permission for a survey to be carried out. Please contact me to arrange access and/or discuss the survey

I do not wish my land to be surveyed (please provide a reason below)

Personal Information *

Please tick the box to acknowledge our use of your personal information

Your personal information will only be held by the North and East Yorkshire Ecological Data Centre for the purposes of organising the survey and sending out survey results. For more information please see our Privacy Statement at www.neyedc.org.uk/policies-and-data.

Permission statement *

I confirm I am authorised to make decisions regarding the site(s) listed above

I am not the owner/tenant/manager of the land shown on the map