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* 1. Name of Organisation

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* 2. Name of your preferred lead contact:

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* 3. What is the lead contacts telephone number:

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* 4. Colleague 1 - name, role, email & diet preferences

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* 5. Colleague 2 - name, role, email & diet preferences

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* 6. Colleague 3 - name, role, email & diet preferences

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* 7. Colleague 4 - name, role, email & diet preferences

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* 8. Colleague 5 - name, role, email & diet preferences

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* 9. Please tell us when you and your colleagues will be attending:

  18th June 19th June 20th June
Name 1
Name 2
Name 3
Name 4
Name 5

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* 10. Are you interested in bringing along a small exhibition banner? (£200)

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* 11. Are you interested in speaking at the event?

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