Take Action Pack

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1. Take Action Pack
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Thank you for applying for one of our Take Action packs. We will send one out to you within 5 working days of receiving your application. Please note, this is a pilot project and we would welcome your feedback. We will send you an email a month after sending out the pack to ask you some questions about how you found the pack, and what we can improve.

1. Your contact details *

First name
Last name

2. Your email address *

3. Are you applying for a Take Action pack as part of an organisation? *

Yes
No

If yes, which organisation? (If none, just type N/A)

4. Where would you like your Take Action pack to be sent to? *

Address line 1	*
Address line 2	*
Address line 3	*
Nation or English region	*
Postcode	*

5. Are you a UK citizen? *

Yes
No