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Stage 2Please upload your completed APPLICATION FORM using the next function, and complete the rest of his page. |
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Upload your completed APPLICATION FORM here(*) |
You need to have completed your application form and upload it when you register for the MROP |
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First Name(*) |
Please enter your first name |
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Last Name(*) |
Please enter your last name |
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Address Line 1(*) |
Please enter the first line of your address |
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Address Line 2 |
Invalid Input |
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City(*) |
Please enter your city or town |
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Post code |
Please enter your post (ZIP) code |
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Country (enter another if outside the UK) |
Invalid Input |
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Email address(*) |
Please enter your email address |
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Confirm Email address(*) |
Email addresses do not match |
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Home Phone(*) |
Please enter your home phone number |
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Work Phone |
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Mobile Phone |
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Date of Birth(*) |
Please enter your date of birth |
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Gift Voucher |
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If you have been given a Gift Voucher towards the cost of the Rites, please indicate the value of the voucher here. We will ask you to send us the voucher. |
Please tell us any dietary, health or other needs that you want us to be aware of?(*) |
Please let us know about any health or diet issues you may have. Otherwise please answer'no' |
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How did you find out about the MROP? |
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Data Protection: All the information that you provide here is held in confidence by us. Our assessors will review your application to determine your readiness for the Rites. The rites elder team may use the information to support you before, during and after the rites. All the data is then destroyed shortly after the rites are completed. Your name and email address only are added to our newsletter mailing list, which you can opt out of at any time. |
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