1.	Title*

2.	First name*

3.	Last name*

4.	Email address*

5.	Address

6.	City*

7.	Job title

8.	Organisation

9.	What best describes the organisation you work for?*
	-- Please Select --Academic institutionNational charityLocal or regional charityCommunity groupInfrastructure organisationSocial enterpriseOther third sector organisationLocal governmentNational government departmentOtherNone

10.	Research interest *

11.	We would like to keep you updated on the research streams you have identified. In order to save resources we will do this by email where possible.
	Please tick this box, if you would like information by post.

12.	How did you find out about TSRC?
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