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Submitted by Guest on Sun, 11/09/2011 - 02:19.

Name of your organisation(s): 
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Brief outline of your event: 
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Aims of your Event: 
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Summarise your event in approximately 60 words : 
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Preferred date and time (morning, lunchtime, afternoon, evening) if known:: 
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How long will your event last (approx.)?: 
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Preferred venue (if known) and venue requirements e.g. bar, stage:: 
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Estimated audience numbers: 
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Who is your event aimed at (children, experienced campaigners, introduction to issues, etc....)?: 
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Postal Address: 
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Telephone number: 
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Website: 
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Name: 
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Email Address: 
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Any other comments, requests, details: 
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