Register for CO Awareness Week on the 27 April – 3 May 2020. Please complete the form below with as much information as possible and ensure all fields marked with a red asterisk are completed before submitting. TitleMrsMsMrDrMissName First Last PositionOrganisation NameOrganisation type - Please selectCommunity GroupCorporate/workplaceEducationGasfitter/PlumberGovernmentHospital/Medical CentreNot for profitPhone number*Email* Address* Street Address Town / City State Postcode Are you interested in running a CO Awareness week event?YesNoLocation of activity (mandatory)*City/Metropolitan area Regional/Rural area (non-metropolitan)Would you like to include a fundraising element to your activity?Yes (we will send you a fundraising kit)NoIs your event open to the general public?Yes (we will include your event on our events calendar)NoStart date of activity: Date Format: DD slash MM slash YYYY End date of activity: Date Format: DD slash MM slash YYYY Start time : HH MM End time : HH MM How did you find out about CO Awareness Week? Have participated before Word of mouth Referred by a friend/colleague Saw it in a CTF newsletter/email Mentioned on another organisation’s newsletter Saw/heard it in the media Saw it on Facebook/social media You can select more than one answer. Would you like the CTF to contact you regarding news, activities and upcoming events?Yes - I would like to be contacted by CTF.No, I am not interested.
