Economic Development Unit BLAENAU C OUNTY BOROUGH COUNCIL CONFIDENTIAL Regeneration Division BUSINESS PROPERTY/SITE County Borough Council Tel: 01495 355700 REGISTRATION OF INTEREST FORM Email: [email protected] APPLICANT DETAILS

Contact Name Business Name House/Unit No Post Code Telephone No Mobile No Email Website

BRIEF DESCRIPTION OF BUSINESS/PROPOSED BUSINESS

Please provide a brief description of the business activity that you intend to operate from the business premises. Specify the type of product(s) and/or service(s)

PROPERTY REQUIREMENTS

TYPE: Industrial Office Retail Land Warehouse/Distribution

Other please specify)

SIZE: Size Required (Approx) Min Max

NEED: New business Business Expansion Relocate Current business Other

How many jobs (if any) are likely to be created and/or safeguarded as a result of business taking occupancy of the premises? Number of Additional Jobs Number of Jobs Safeguarded

PREFERRED LOCATION: Please tick preferred town and/or site (The availability of suitable premises will determine our ability to satisfy your choice of location) Crown Ind Est Cwmtillery Ind Est Blaenau Gwent Workshops Cwm Small Business Centre Tredegar Business Park Ind Est Blaenant Ind Est Cwmdraw Ind Est Roseheyworth Business Park Barleyfields Ind Est Waun-y-Pound Ind Est Gwent Court Business Park

SPECIAL REQUIREMENTS

Please specify any special requirements that the business premises will need to provide i.e. 3 phase electricity, gas, security measures, parking provision, storage/access issues

This form is designed to gather information that will help the Council to identify a suitable premise to be viewed. Although the Council will endeavour to identify a potential property to suit your needs, the outcome will be governed by the information you provide in this form and the availability of premises in Blaenau Gwent. The completion of this Registration of Interest Form does not in itself constitute a formal application for a Council-owned business premises. DATA PROTECTION Blaenau Gwent County Borough Council will use your personal information to help us deal with your property search, and to assist you with obtaining any other business support requirements that you may request. The information will also be used for monitoring and statistical purposes. We may disclose your information to our service providers and agents for these purposes. Except where we are required by law (Inc European Union Law) to disclose your information, we will only pass your information to third parties with your consent. FORMAL DECLARATION: “I confirm that the information I have provided in this form is correct at the date of signature below. I understand that the Council cannot be held responsible for any inaccurate information, or information not provided during the completion of this form.”

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