Register your interest

Umbraco Forms requires a validation framework to run, please read documentation for posible options.
See Umbraco Forms Documentation

Thank you for your interest in joining our customer involvement panel. Please fill in your details below and a member of the team will be in touch.

Consent for storing submitted data *

Yes, I give permission to store and process my data

Full name *

Phone number *

Email address

Are you a Wolverhampton Homes customer? *

Yes, I am a tenant

Yes, I am a leaseholder

No, but I live with a Wolverhampton Homes customer

Address details

Address line 1

Town or city

Postcode

Please confirm you're not a robot... *