Name First Last Email PostcodeWhat’s is one thing that makes you proud of your community?An example could be a local community space, project, person or even just something about your unique local identity. Max 100 words.What is one change you’d like to see in your community?Max 100 words.Are you a member of the Co-operative Party? Yes No Not yet, but I would be interested in receiving more information about membership Do you consent to us retaining your submission and using your anonymised answers in Party material?* Yes No