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MEMBERSHIP APPLICATION
Application to be part of the Creative Uprising Network
Email *
First Name *
Surname *
Mobile Number *
Address *
Type of Business
If you have a business please provide the name
What is the size of your business
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If Yes - Is your business registered? *
Please tick the categories you work in
Social Media Platforms
Face Book Address
Twitter Handle
Instagram
LinkedIn
Please outline the support systems you would like ConHill Creative Uprising to put in place to support you
Anything else you would like us to know?
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