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Community Dialogue Half-Day Seminars
Registration Form

 Name/s: _____________________________________________

 Organisation: _________________________________________

 Address: _____________________________________________

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 Telephone: _______________   Mobile: ____________________

 Email: ___________________

 I / we would like to participate in the following event:

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 Please send your completed form to:

The Adminitrator
Community Dialogue
373 Springfield Road
Belfast BT12 7DG
Tel: + 44 (0) 28 9032 9995
Email: admin@communitydialogue.org