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women4change Sutton FORM.pdf - Merton Connected

women4change Sutton FORM.pdf - Merton Connected

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Women4change: SEMINAR: 30 November 2009<strong>Sutton</strong> Town Hall, Room 1, Civic Offices, St. Nicholas Way, <strong>Sutton</strong> SM1 1EA.Places are FREE but booking is required.BOOKING FormFirst Name(s)Position HeldSurnameOrganisationAddressPostcodeContact NameTelE-mailPlease state any particular requirements e.g. food, disability access, language etc.Signature:Print Name:Date:Photocopy and complete for each additional participantCOMpLETE and post this form to:The Asian Health Agency,Dominion Centre, 112 The Green, Southall, Middlesex UB2 4BQEmail Bookings: send to leadership@taha.org.ukFor further information:Contact <strong>Sutton</strong> Race Equality Council on020 8770 6199 or email: admin@suttonrec.org.ukOr TAHA on 020 8570 5038 or email: leadership@taha.org.uk

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