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By completing this form you are signing up for Phase 5 of Culture24's Let's Get Real action research project
(or for the LGR5 North America version if you are a North American organisation)

If you have further questions please contact either Sejul Malde (sejul@culture24.org.uk) or Jane Finnis (jane@culture24.org.uk) or call us on +441273 623266

The deadline for signing up is 5pm 31 May 2016

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1. What is your name?

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2. Which organisation are you from?

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3. What is your email address and/or contact telephone number?

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4. Why do you want to take part in LGR5? (100 words or less)

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5. Please provide the name and contact details of the person whom we should invoice for the participation fee of £2,950 plus VAT

(or $3,000 if applying for LGR5 North America).

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