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* 1. Name

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* 2. Surname

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* 3. Email address

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* 4. Are you a member of Philea - Philanthropy Europe Association (host of the event)?

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* 5. Do you want to stay informed on the activities of Philea's Arts & Culture funders' collaborative?

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* 6. If you have a practice/experience at the intersection of arts, culture, and environment that you want to share, please do so (URL link, title, etc.)

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