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Insider West of England Economic Forum – LEP Debate

Date: Thursday 9th December 2010
Venue: Tower Wharf, Cheese Lane, Bristol , BS2 0JJ
Event Enquiries: Kelly Hancock – 0161 907 9754

Please note: Fields marked with * are compulsory fields and must be completed.

By completing this form you are registering your interest to attend the event. However, this does not automatically result in a confirmed place. Those that successfully obtain a place at the event will be issued with a confirmation email ten days before the event date.

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Title * -- Select -- Mr Mrs Miss Ms Doctor

Name *

Surname *

Position *

Company Name *

Type of Company * Accountants Architects Chemical Construction/Property Consultants Distribution/Retail Economic development Electronics Energy Industry Engineering Estate Agents Finance/Venture Capital Food Hotels/conferencing Information Technology Lawyers Local Government Manufacturing Marketing /media Medical Motors Recruitment Servicing Industry Stockbrokers Surveyors Telecoms Training & education Transport Travel & leisure Other

Address Line 1 *

Address Line 2

Town/City *

County

Postcode *

Phone *

Email *

My Question to the Panel

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Form Completed By
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Please state the County where you were born (E.g. Dorset, Cumbria or Greater Manchester). *
Required for auditing purposes. (Note – If you were not born in the UK you must tell us the Country where you were born).

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