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Please note: we will email you to confirm we have received this information, however, your place on the course is not confirmed until we have received payment. If you do not respond to requests for payment information your name will be removed from the participant's list.

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* 1. Full name:

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* 2. Email address:

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* 3. Please confirm your email address:

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* 4. Position:

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* 5. Workplace:

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* 6. By whom is your position funded? (multiple answers allowed)

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* 7. How did you (initially) hear about this workshop?

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* 8. Do you have any additional comments?

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