2026-27 ENG Top-up Package Application Form

Top-up Package Expression of Interest Form
Confirm the name of your group or organisation:
Confirm the name of the main contact:

First nameLast name
Confirm the email address of the main contact:
example@example.com
Confirm the telephone number of the main contact:
Confirm the site address:

Address line 1

Address line 2

Town Local authority

Postcode
What type of Keep Wales Tidy Local Places for Nature garden package have you been provided with in the past?
Let us know which Top-up Package you might be interested in (you can select up to three):
Please note, we can’t guarantee we will provide you with the package(s) you select
Please confirm:
What we do with your email?
Should be Empty:

Top-up Package Expression of Interest Form