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* 1. First name

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* 2. Last name

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* 3. Membership number

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* 5. School or place of work

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* 6. Are you an NEU rep in your workplace?

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* 7. Email address

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* 8. Mobile number

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* 9. Will you be staying in the hotel on the night of Friday 22 Novemeber?

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* 10. Are there any reasonable adjustments we can make to ensure the event is more comfortable for you to attend?

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* 11. If you have any dietary requirements please list them here

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