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* 3. Please enter your name and delivery address

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* 4. Please enter your email address

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* 5. Will you be available in September 2012 to attend the first panel meeting? And thereafter panel meetings will be November 2012, Feb 2013, May 2013, dates tbc

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* 6. Can you commit to reading and reviewing early copies, attend a lunch, tea or cocktail event with the author on a quarterly basis?

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* 7. Finally, please tell us why you should be chosen to take part in this exclusive panel by completing the following tiebreaker statement: 'Pan Macmillan would be interested in what I have to say about books because...' (no more than 300 words)

Thank you!

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