Litter campaign notification Tytsjerksteradiel

Progress

25%

Your data

Please note that fields marked * are required

With this application form you can report a litter campaign to us. In this form you indicate with which support you would like to receive from the municipality.

Given names *

Insert(s)

Last name *

Address *

Residence *

Email address

Phone number

The phone number must begin with 0 and consist of 10 digits. Only digits may be entered in this field.