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* 1. Organisation Name

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* 2. Please provide a brief description of your organisation and what it does

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* 3. Which locations do you work in? (National, Regional, Tyne & Wear, North Tyneside, individual town or ward etc.)

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* 4. What category of service are you wishing to promote to the Business Sector (tick all that are relevant)

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* 5. Please give full details of the specific nature of the service(s) that you are offering to business, including any information about whether it is focused on people with specific conditions, particular age groups etc.

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* 6. Please provide details of whether there are any charges for the service(s) that you wish to make available to business

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* 7. Please provide a contact telephone number/email address for businesses to make contact

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* 8. Any additional information

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