SurveyMonkey Powered Online Survey

Thank you for your interest in taking part in Birmingham Heritage Week, which is taking place on 8th-18th September 2016.

Please complete this form with final details of your event/venue etc.

Forms must be submitted by 24th June 2016 at the latest. Submissions or edits after this date will not be accepted so please ensure that content is accurate and print ready.

For further information, please contact rachel.wassall@birminghammuseums.org.uk

Question Title

* 1. Contact Information

Name

Company

Address

Address 2

City/Town

Postal Code

Country

Email Address

Phone Number

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* 2. How does your organisation / event relate to Birmingham Heritage Week?

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* 3. Online channels

Website

Twitter

Facebook

Instagram

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* 4. Images
Please provide us with at least two high resolution images for promotional purposes. Images should be emailed to rachel.wassall@birminghammuseums.org.uk

I have emailed (or sent via WeTransfer) a minimum of 2 x high resolution images

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* 5. Image permissions

I give permission for images to be used for the purposes of Birmingham Heritage Week promotional material, publications, online and social media channels. I understand that images may be used for publicity/marketing purposes.

Question Title

* 1. Contact Information

Question Title

* 2. How does your organisation / event relate to Birmingham Heritage Week?

Question Title

* 3. Online channels

Question Title

* 4. ImagesPlease provide us with at least two high resolution images for promotional purposes. Images should be emailed to rachel.wassall@birminghammuseums.org.uk

Question Title

* 5. Image permissions

* 4. Images
Please provide us with at least two high resolution images for promotional purposes. Images should be emailed to rachel.wassall@birminghammuseums.org.uk