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1. Name of store (Required.)

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2. store address details (Required.)

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3. Store trading hours (Required.)

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4. Key contact name (Required.)

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5. Key contact email address (Required.)

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6. Key contact phone number (Required.)

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7. I am participating in the Fashion in the City retail event (Required.)

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8. The type of offer I will be making is below (Required.)

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9. The description and details of my offer for promotional purposes - including any terms and conditions are below (maximum 25 words) (Required.)

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10. The length of my offer is....

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11. I am able to provide a 'voucher' from this store for promotional use in the campaign (Required.)

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12. I would like to submit my event to the Fashion in the City event schedule

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13. The details of my event for promotional purposes - including title, date, time, location and brief description (max 25 words) are below

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14. I have an image for promotional purposes to supply by January 15, 2014 or before (Required.)

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