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Venue Registration

Options Which days will your Bart’s Bash be on? You may select both

Saturday

Sunday

Venue Details

Name* Club, group, venue or organisation name

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Country*

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Type of Venue*

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Your Details

First Name*

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Last Name*

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Email Address*

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Your Role*

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Club Details

Address Line 1*

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Address Line 2

Town / City*

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County

Postcode*

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Other Information

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Who are you fundraising for*

Andrew Simpson Foundation

Your Club

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