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....MODA
....1 Mark Street
....Stratford
....London E15 4GY
 
....Tel: 020 8555 8948
....Email: info@moda.org.uk
 
.;;;;.HOME :: INFORMATION SERVICES > DIRECTORY> Subscription Form
     
  Directory - Subscription Form  
     
 
1. Contact details
   


Organisation:


Address:

Postcode:

   

Borough:

Date set up:

Ethnic group:

Language:

   
Contact person:

Telephone:

Fax:

Email:
Website:

2. Description and Services
What are the aims of the organisation?
  
What services do you provide?
To which groups?
 
Newsletter and other publications:

3. Resource exchange
Resources available
for sharing/exchange or needed

 
available
needed
Volunteers
Interpreters
Meeting space
Conference hall/room
IT facilities
Speakers
Music band
Theatre group
Others (specify)
     

4. Moda Membership
 
Are you a member of MODA?
  yes no
 
Which MODA services have you used?
Bulletin
Other information
Training
Meetings/Seminars
1-2-1 technical support
others (specify)

Press the button to send the form

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funded by London Councils - City Parochial- Ethnic Minority Foundation