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1. Please enter your full name *
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Please enter a valid email address
2. Please enter your email address *
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3. Please enter a contact telephone number *
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4. Please select the region where your group is based. *
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5. Please enter the name of the group / cause *
6. If you are a charity, please enter the charity number.
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7. Please tell us what the vouchers will be used for? If to support an event, where and when will this be held and roughly how many people do you expect to attend?
We need around two weeks' notice to process vouchers and get them out to you. *
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8. To what address should the vouchers be sent? *