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1. What is your name?

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2. Name of business?

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3. Type of business?

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4. Please give a description of the service you offer in 50 words or less.

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5. Business address?

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6. Business telephone number?

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7. Business mobile number?

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8. Business e mail address?

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9. Business website address?

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10. Business facebook page (url)?

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11. Business twitter page (url)?

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12. Other social media sites if applicable?

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13. Would you be interested in being part of a Kirknewton Business Association?

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14. KCDT hopes to offer KCDT members a discount card - can you suggest a regular offer for people in the Kirknewton and East Calder area (ie 10% discount)?

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15. Would you be interested in finding out more about low cost advertising through Kirknewton Community Development Trust?

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16. The Kirknewton Green Room can be used for your business needs. This includes meetings, internet, use of touch screen presentation faciltiies and printing. You can access this building for free during working hours or you can book it for £10 an hour with hot drinks and catering for large groups available. Is this service of use to your business?

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17. Any other comments?

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