West Berkshire Council

Real Nappy Pack Application Form

Request your free real nappy pack

iCM Form
  1. Contact Details
    1. Please enter your contact details so we know where to send your pack.
    2. Name
      1. To qualify for a free pack you must be a resident in West Berkshire.
      2. Address Postcode
      3. Address Details
        1. Numbers, spaces, + , ( , and ) are all valid characters
    1. Please enter your baby's date of birth or due date.

      1. dd/mm/yyyy
    2. Or
      1. dd/mm/yyyy
    3. * Please note: at least one of Date of Birth or Due Date need to be entered.