SurveyMonkey Powered Online Survey

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1. Please add your details below:

Your name

MN nickname

Email address

Mobile phone number

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2. Please enter your address below.
++++ please be careful about using autofill

Address line 1

Address line 2

Address line 3

Address line 4

POSTCODE

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3. Please say which screening you'd like to attend.
You'd need to make your own way to the screening

4th October, London Vue Westfield, Shepherd’s Bush: 10:30am start

4th October, Manchester ODEON Trafford Centre: 10:30am start

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4. Please say how many people in total will be in your group - include yourself.

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5. Please give details of the people - INCLUDING yourself who would like to attend the screening

	Is an	If a child, age
Person1	Person1 Is an menu	Person1 If a child, age menu
Person2	Person2 Is an menu	Person2 If a child, age menu
Person3	Person3 Is an menu	Person3 If a child, age menu
Person4	Person4 Is an menu	Person4 If a child, age menu
Person5	Person5 Is an menu	Person5 If a child, age menu
Person6	Person6 Is an menu	Person6 If a child, age menu
Person7	Person7 Is an menu	Person7 If a child, age menu
Person8	Person8 Is an menu	Person8 If a child, age menu

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6. Please say why you would like to attend this event?

Your details will only be used to choose and notify those selected and NOT for any other purpose. You will not receive any marketing as a result of this survey.

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1. Please add your details below:

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2. Please enter your address below.++++ please be careful about using autofill

Question Title

3. Please say which screening you'd like to attend.You'd need to make your own way to the screening

Question Title

4. Please say how many people in total will be in your group - include yourself.

Question Title

5. Please give details of the people - INCLUDING yourself who would like to attend the screening

Question Title

6. Please say why you would like to attend this event?

2. Please enter your address below.
++++ please be careful about using autofill

3. Please say which screening you'd like to attend.
You'd need to make your own way to the screening