Your signature Your role or position in the organisation Date of application (DD/MM/YYYY) / / Please print your name here When completed please send this form to- Conwy County Borough Council, Blue Badge Department PO Box 1 Conwy LL30 9GN Or email to bluebadge@conwy.gov.uk – Should you have any queries please call - 01492 577800
Your signature Your role or position in the organisation Date of application (DD/MM/YYYY) / / Please print your name here When completed please send this form to- Conwy County Borough Council, Blue Badge Department PO Box 1 Conwy LL30 9GN Or email to – bluebadge@conwy.gov.uk Should you have any queries please call - 01492 577800
BB4-Application-Form-Organisational.docx