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Please print the form (use button at foot of page), complete, and fax or post it to us. OR email us the details.
arts advocates auckland inc P O Box 3812 Shortland Street Auckland |
Fax: 09 489 4135
email |
| CONTACT PERSON |
| TITLE / POSITION |
| ORGANISATION |
| ADDRESS (POSTAL) |
| ADDRESS (STREET) |
| PHONE - BUS |
EMAIL |
| PHONE - A/H |
WEBSITE |
| FAX |
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| PUBLICATIONS |
| KEY EVENT DATES |
| BRIEF DESCRIPTION OF ORGANISATION'S PURPOSE / OBJECTIVES |
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Name............................................ Signature...................................... Date.......................... | |