FAMILY GROUP CONFERENCE NETWORK MEMBERSHIP SIGN UP FORM

Family Group Conference Network sign up form

DETAILS FOR FAMILY RIGHTS GROUP WEBSITE
Project name
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Organisation
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Name of contact(*)
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Address 1(*)
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Address 2
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Address 3
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Town(*)
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Post Code
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Telephone

E-mail(*)
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For office use only and will not be displayed on our website

What type of organisation does your project fall under?

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If other, please specify what type of organisation your project falls under
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What types of work is your project involved in?
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Please specify what other types of work your project is involved in
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What services do you provide?
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Please specify the other types of services your project provides
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Does your project have independent evaluation?

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FOR OFFICE USE ONLY
Please select the FGC Membership you'd like to purchase(*)

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Method of payment
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Do you require a purchase order number for payment?(*)

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If your employer requires a purchase order number for payment please include here (for invoice)
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How would you like to receive your billing invoice?(*)

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Please specify e-portal information (for invoice)
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Please specify billing address (for invoice)
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Billing address Email

Billing Telephone

FGC Network membership payment online inclusive of VAT
Please choose payment amount

Total:
0.00 GBP

Please note: if you choose to pay online, your booking is not complete until you make payment on the next page.
Confirmation of registration
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