Fill out your details below to request resources for your community:

Name:

Organisation:

Address:

Postcode:

Telephone:

E-mail:

Please tick the resources you require:

Public DVD

Powerpoint Presentation

Information leaflets

If you would like some information leaflets, how many do you require:

If you are holding an event and would like a member of the Leicester Regeneration Company to attend and talk about the city's regenertaion activity, please tick this box

Date of Event:

If you would prefer to fill out and post a hard copy of this order form, click here to view and download a PDF version of this form.