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1. ORGANISATION NAME:

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2. YOUR NAME (Required.)

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4. TELEPHONE NUMBER: (Required.)

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5. EVENT START DATE & END DATE (Required.)

Date
Date

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6. EVENT START TIME / END TIME (Required.)

Time
Time

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7. PROPOSED EVENT:
PLEASE PROVIDE AS MUCH INFO AS POSSIBLE ABOUT YOUR EVENT
including : NUMBER OF PEOPLE ATTENDING
(If multiple dates please also provide details and numbers for each date in the box below).
(Required.)

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8. IS THIS A REGULAR EVENT? (Required.)

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9. WHICH SPACE/S DO YOU REQUIRE?
(details of spaces are on www.stmattsbrixton.org)
(Required.)

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