Name *

First Name

Last Name

Housing *

Please select which option most closely reflects where you live? (Please select only one)

Block of flats (more than 5 floors)

Block of flats (less than 5 floors)

House (including flats in houses)

Year built *

(Tick one box)

Before 1960

1960s

1970s

1980s

1990 or after

Ownership

(optional)

Owner

Renting

Other

I agree that my contributions can be used for: *

By submitting you agree that your contributions may be included on our website, social platforms and for use in education. We will use your first name and the city where you are from with your submission. All contributions become part of the Disobedient Buildings project and are non-returnable. We cannot guarantee that your contribution will be exhibited online or otherwise. (Please tick all the appropriate boxes)

Exhibitions

Publications

Films

All of the above

I am happy to be contacted to contribute more to the project: *

(Tick one box)

Yes

No