Details of your paint

Please complete all fields, unless otherwise stated.

About You

Contact Name *

Business Name *

Type of Business *

Phone Number *

Email *

Contact Address

Address Line 1 *

Address Line 2 *

Town / City *

Postcode *

Paint details

Please tell us about each type of paint you have separately. Please ensure only paint our schemes can accept is included on the form.

Type of paint (e.g Emulsion)

Total litres

Qty of full containers

Qty of part full containers

Additional info i.e. colour (if known)

Add another type Remove

Regularity of offering

Regularity of offering *

1 time offer

Regular or potentially regular offer

Please describe regularity *

Photograph (optional)

A photograph helps our scheme access the paint you have available. If you are able please attach one here.

Photograph

Maximum upload size: 2MB

Transport options

Can you drop off the paint at the scheme?

If a scheme is unable to collect the paint, are you able to drop the paint off? Please note, schemes can only accept paint that can be reused. *

No

Yes

How far for preferable locations? *

GDPR confirmation *

I understand that you will collect, use and store the data I submit within this form to monitor and track the progress of my enquiry. My details will only be sent externally to a Community RePaint scheme if required and you will not send my details to any third parties.

T&C *

I confirm I understand schemes may charge for the service they are providing.

Website/URL

About You

Contact Address

Paint details

Regularity of offering

Photograph (optional)

Transport options

Can you drop off the paint at the scheme?

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