50% of survey complete.
Thanks for taking the time to complete this quick registration survey for the Stories to Build Power workshop (10am - 5pm, Saturday 13 April).

If you have any queries about this survey or the workshop, contact Holly Hammond on 0421 508 446 or holly@plantowin.net.au. Further info about Plan to Win is available at http://plantowin.net.au

Please complete this survey by COB Friday 5 April 2013.

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* 1. Contact details

We will use your details to keep in touch with you about the workshop. They won't be passed on to anyone else without your consent.

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* 2. Experience 

Please tell us a little about your campaigning, activism or other social change work.

What issues are you working on? What goals are you trying to reach - or change do you want to see happen?

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* 3. Expectations

What do you hope to get out of the workshop? 

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* 4. Accessibility

Please let us know if you have any accessibility issues that we should consider.

Please note that we are seeking a wheelchair accessible venue - we already have a venue booked that has some stairs, as a back-up should wheelchair access not be required.

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* 5. Food

We'll provide vegetarian morning and afternoon snacks. Lunch is not included - BYO or buy it nearby.

Please let us know if you have any dietary requirements.

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* 6. Cost

Workshop fees are charged on a sliding scale $50-$100.

Please think about your financial capacity and that of your organisation when deciding what to pay. Paying at the higher end subsidises attendance by low income activists - and supports the viability of Plan to Win, a not-for-profit social movement support project.

Please indicate the fee you will pay and we will invoice you that amount.

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* 7. Final comments

Anything else you'd like to add?

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