By completing this form you are signing up for Phase 5 of Culture24's Let's Get Real action research project
(or for the LGR5 North America version if you are a North American organisation)

If you have further questions please contact either Sejul Malde (sejul@culture24.org.uk) or Jane Finnis (jane@culture24.org.uk) or call us on +441273 623266

The deadline for signing up is 5pm 31 May 2016

1. What is your name?

2. Which organisation are you from?

3. What is your email address and/or contact telephone number?

4. Why do you want to take part in LGR5? (100 words or less)

5. Please provide the name and contact details of the person whom we should invoice for the participation fee of £2,950 plus VAT

(or $3,000 if applying for LGR5 North America).

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