Faith and Power: Promoting Energy Support

Thank you for confirming your interest in this event on Energy Support in Communities, 23rd January 2017.

It's been fantastic to hear from you, and we look forward to seeing you on the day.

Please note that we are unable to confirm your place until we have received these details from you.

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* 1. General information

First name

Family name

Phone number

Email address

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* 2. Which of the following best describes you?

Third Sector/Voluntary Organisation Employee

Concerned citizen

Business representative

Community organisation representative

Local Authority representative

Public Servant

Other

Other (please specify)

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* 3. Which organisation are you representing? (If applicable)

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* 4. What specific interests or issues would like like to see addressed in this seminar?

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* 5. Do you have any other needs we should be aware of?

Wheelchair access

Bigger texts

Hearing device

Reading glasses

Other

Other (please specify)

Thank you so much for taking the time to fill in this survey. We will be in touch shortly to confirm your attendance.