Online Advice Surgery:

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You can use this form to contact all local public agencies. Simply fill in your details below and press the send button. Please confine each form to one subject.

Your email address:

First name:

Surname:

Title:

e.g.Mr. Ms. Mrs. etc.

House Number:

Street:

District:

Post Code:

Tel Home:

Tel Work:


Only provide this if you can take private calls at work.

 

Type your problem in the box below:

When you PRESS the "Send" button the form will be sent to Sparkbrook Neighbourhood Office. If you require to fax documents these can be sent to 0870 136 3168. Please mark your faxed document with this unique number
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and enter the number in the box below.

 

 

© Design Mick Rice  2001