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About
MRC Community Visit for the South-West 2024
Page 1 of 4
Closes
2 Jun 2024
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Introduction
1. Please state your title:
Title:
(Required)
2. What is your name?
First Name
(Required)
Surname
(Required)
3. What is your email address?
Email
(Required)
4. If applicable, please indicate an email address for an assistant / someone who should be included in future correspondence relating to the event.
Email
N/A
5. What is your organisation?
Organisation
(Required)
6. What is your job title?
Job Title
(Required)
7. Please advise of any dietary requirements
N/A
If applicable, please include any requirements here
8. Please advise of any accessibility requirements
N/A
If applicable, please include any requirements here
9. Do you give permission for your name and email address to be included in the delegate booklet?
Yes
No
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