Company Name

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* 1. Company Name

Delegate name

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* 2. Delegate name

Delegate positions (eg Elected Director, Trustee, Partner Council)

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* 3. Delegate positions (eg Elected Director, Trustee, Partner Council)

Email address for delegate

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* 4. Email address for delegate

Telephone number for delegate

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* 5. Telephone number for delegate

Telephone number for company if different

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* 6. Telephone number for company if different

How long has the business been in employee ownership?

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* 7. How long has the business been in employee ownership?

Any specific dietary requirements?

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* 8. Any specific dietary requirements?

Invoice Contact

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* 9. Invoice Contact

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