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* 1. Firstname

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* 2. Surname

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* 3. Email address

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* 4. Company/Organisation (if applicable)

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* 5. Please inform us of any dietary requirements

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* 6. Every month the ISSR sends out an informative e-bulletin. Would you be happy to be included on this list?

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* 7. How did you hear about this crowd funding workshop?

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