Help for Communities in the Economic Downturn Name Role Organisation Address Telephone E mail Please indicate if you do not wish us to contact you about further events contact Are you a voluntary organisation working in Staffordshire and Stoke- on-Trent? Are you working in any of the following areas? Well being and Advice, Information Loss of Income, Health Yes and Guidance Training and Skills Are you affiliated to any of the following organisations? Yes / No SDVS Chase CASES Community Newcastle Lichfield & CVS Council CVS District CVS - Tamworth SMCVS The UAACO ESREC Other CVS Saltbox (please name) Please indicate the turnover of your organisation Less than £150k £150k to £750k More than £750k Please specify How did you hear about this workshop Notified by email. Please return this form by e mail to firstname.lastname@example.org Alternatively fax/post this booking form to Skillbase Project at SDVS, 131 to 141 North Walls, Stafford ST16 3AD, Fax: 01785 606669.