CIC Forum Registration

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Concept Conference Centre, Birmingham (TBC)
Monday, 24th November 2008
10.00 – 14.30

CIC Forum

Title

First name *

Last name *

Organisation

Job title

Email *

Tel no

Address (1) *

Address (2)

Address (3)

City *

County

Postcode *

Nominee for waiting list

Nominee's email address

Nominee's phone no

Are you or your organisation a member of the Social Enterprise Coalition?

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No

Would you like more information on joining the Social Enterprise Coalition?

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Would you like to receive information on future Coalition events?

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No

If yes, which areas would you be interested in?

CICs
Health & Social Care
Black, Asian & Minority Ethnic
Social Enterprise Ambassadors Programme

Personal requirements
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Future correspondence
If you do not wish to receive correspondence from the Coalition regarding future events or developments, please tick here.

Terms & conditions *
This event is by invitation only and the Social Enterprise Coalition reserves the right to refuse admission. Please tick here to show you agree with the terms & conditions.

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