Birkenhead Culture Partnership 
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Name *
What organisation/s do you represent? 

If you are applying as an individual rather than as part of an organisation, please state this.
 *
What is your role within the organisation/s?

If you are applying as an individual, please describe your role or interests within the community e.g. artist, writer, historian, community organiser etc.
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Why are you interested in being part of the Birkenhead Culture Partnership? *
Email address *
Please read the Terms of Reference, found here. *
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