* 1. Will you be attending the conference?

* 2. Are you a tenant or a leaseholder?

* 3. First Name

* 4. Last Name

* 5. Street address

* 6. Postcode

* 7. Email address

* 8. If you or your children have any special dietary requirements? (please advise below)

* 9. During the event we will be providing a crèche facility, If you wish to take advantage of the crèche, please provide name and age of your child/children.

* 10. For those of you who do not have transport we will be supplying a mini bus to pick you up from Cippenham Library, Chalvey Community Centre, Britwell Library, Langley Library and Montem Leisure. Please advise if you require a pick-up?

* 11. Please let us know where you will require pick up

* 12. Please let us know the best telephone number to contact you

* 13. The council has a list of residents who are involved  in helping to improve our services (the service improvement group). These residents are consulted on various topics via email and survey links using the internet.  Please let us know if you

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