Make annual payment for a club licence from Wychavon District Council

Step 2 of 4 Submit the application

Email address

Please provide your email address, so the licensing authority can let you know if your application has been successful or not.

Email address Confirm email address

Application form

Please attach the completed application form below.

Application form

Declaration

This payment is made on behalf of the holder of the club premises certificate as at the anniversary of the date of the coming into effect of that certificate.
Data Protection Act 1998 - fair processing statement. I understand that my data is being collected by Wychavon District Council for the purposes described on this form and will not be used for any other purpose, or passed on to any other body, except as required by law, without my consent.

Ticking this box indicates you have read and understood the above declaration

By continuing, you're giving the Cabinet Office permission to pass the information you're supplying to the relevant authority.

For more details on how your information is used please refer to the Government Digital Service privacy notice (opens in new tab) and Wychavon District Council.