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Information Form Would you like to win an ipod Shuffle Music Player? Then please complete this form along with the Youth Service User Survey found on The HYPE www.thehype.info Name Age Address Survey deadline will be Friday 19th October 2007 The winner will be informed after the draw on Friday 26th October 2007 Please send completed forms to: Youth Service User Survey Hackney Youth Service 2nd Floor, Maurice Bishop House 17 Reading Lane Hackney London E8 1HH

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