Shape Access Card
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Shape’s Access Card has been developed for deaf and disabled Londoners.
If you have a visual impairment or a learning disability you can still enjoy the arts.

You can use your Free Access Card when buying tickets at theatres or to gain entry to exhibitions and museums. The Access Card will identify you as person with access requirements and/or as someone who is entitled to a discount or concession where they already exist.

Shape aims to have the Access Card accepted in all London venues by the end of 2011, such as museums, galleries, theatres, arts centres, concert halls and many more exciting places. Giving Londoners a better service!

If you have any questions about the Access Card, please contact us on 0207 7424 7333 between 2:30 and 5:30pm, Monday to Friday or email us on bookings@shapearts.org.uk

Shape’s Access Card is now available!

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1. Please fill in your contact details

Please fill in your contact details First Name:
Surname:
Address:
Address 2:
City/Town:
Postal Code:
Email Address:
Phone Number:

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2. Borough

	Please choose one of the following
Please provide details of your London Borough	Borough Please provide details of your London Borough Please choose one of the following

Outside London? Please give us your county

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3. Do you consider yourself to be disabled?

Do you consider yourself to be disabled? Yes

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4. Please give us some detail about the kinds of access requirements you might have e.g. lift access, no steps, captioned performances, BSL interpreter, room for your guide dog etc:

Please give us some detail about the kinds of access requirements you might have e.g. lift access, no steps, captioned performances, BSL interpreter, room for your guide dog etc:

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5. In which format would you like to receive information from Shape?

In which format would you like to receive information from Shape? Standard print (size 14 pt font)

Large print (size 18 pt font)

Braille

Other (please specify)

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6. Would you like to join access lists and schemes run by London venues?

If YES, this will allow Shape to share your details with London venues. They will then send you details direct about their special offers. Venues can also be better prepared to meet your access requirements when you wish to visit them.

If NO, we will not share your details with other London venues.

Would you like to join access lists and schemes run by London venues? If YES, this will allow Shape to share your details with London venues. They will then send you details direct about their special offers. Venues can also be better prepared to meet your access requirements when you wish to visit them. If NO, we will not share your details with other London venues. Yes

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7. Equality and diversity monitoring:

	Please choose one of the following
Ethnicity:	Equality and diversity monitoring: Ethnicity: Please choose one of the following

Other (please specify)

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8. Equality and diversity monitoring

	Please select one of the following:
What is your employment status?	Equality and diversity monitoring What is your employment status? Please select one of the following:

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9. Equality and diversity monitoring

	Please select one of the following:
Are you currently in receipt of any benefits?	Equality and diversity monitoring Are you currently in receipt of any benefits? Please select one of the following:

If so which?

10. How did you hear about Shape?

How did you hear about Shape? Website (which?)

From a Shape Tickets member (who?)

Leaflet at theatre/arts venue (where?)

Other

Please specify

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11. I agree to your Ts and Cs

I agree to your Ts and Cs Yes

Thank you for completing your details. We will be in touch very soon with details about your new Access Card!

Best wishes, Shape

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Shape Access CardExit this survey

*1. Please fill in your contact details

*2. Borough

*3. Do you consider yourself to be disabled?

*4. Please give us some detail about the kinds of access requirements you might have e.g. lift access, no steps, captioned performances, BSL interpreter, room for your guide dog etc:

*5. In which format would you like to receive information from Shape?

*7. Equality and diversity monitoring:

*8. Equality and diversity monitoring

*9. Equality and diversity monitoring