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* 1. Full Name

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* 2. Email address:

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* 3. Phone number:

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* 4. Chambers (including address)

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* 5. What is your practice area?

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* 6. List 3 of your preferred locations

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* 7. Did you attend a state school?

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* 8. Would you be prepared to speak at a non-maintained (fee paying) school?

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* 9. Which of these events would you be interested in assisting schools with?

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* 10. How would you prefer to be contacted?

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