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* 1. First & second name:

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* 2. Pronouns (i.e she/her, he/him, they/them etc.)

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* 3. Name of organisation and/or business:

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* 4. Job title:

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* 5. E-mail address:

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* 6. Which time would you like to attend this event? NOTE: the content will be the same for each session

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