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* 1. First name

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* 2. Surname

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* 3. Organisation

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* 4. Email

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* 5. Phone

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* 6. Organisation website

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* 7. We recognise that every organisation is unique and will have different accessibility challenges. Purple Tuesday therefore isn’t about telling you what to do in terms of accessibility, or asking you to change things overnight.

Instead, we are asking all shopping centres and retailers who wish to take part to make a pledge, publicly demonstrating their commitment to making their services more accessible to their disabled customers.

This could be one from the options below, or one of your own choosing (please select at least one option):

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* 8. We would love to know a little bit about about your plans for Purple Tuesday. How are you planning to mark the day in your store/s and/or shopping centre/s? If you are not sure yet, please just leave this field blank.

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* 9. Purple Tuesday is not just about one day - our aim is to promote sustainable change that improves the disabled customer experience over the long term. By checking the box below you are confirming that your organisation shares this vision.

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* 10. I confirm I am happy to receive update emails from the Purple Tuesday team

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* 11. I confirm by signing up as an official supporter of Purple Tuesday, I am happy for Purple Tuesday to announce my support on social media channels and website

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* 12. I confirm I am happy for Purple Tuesday to display my organisations logo as an official supporter of Purple Tuesday on the event day website.

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* 13. I confirm I am happy to receive communications from the Purple Tuesday founding and coordinating organisation, Purple.

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