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Add your Action Group


Please complete the following details:
Name
of person registering group
Address
(line 1)
Address
(line 2)
Town
County
Postcode
Telephone
Email
What type of group are you: school/college based group If other
What have you decided to call your group?
How many members are in your group
Age of your group's members
What particular areas of campaigning are you interested in:

second-hand tobacco smoke – in the home

public places

tobacco industry advertising tactics

tobacco industry exploitation of tobacco farmers in developing countries

smuggling of tobacco products

packaging and labeling of tobacco products

treatment and support for young people wanting to quit

regulation of tobacco products

environmental issues of tobacco i.e. litter from butts, waste from manufacturing tobacco, impact of growing tobacco

Other

Would you like any on-line support/advice on running your group? This may include consent forms, advice on engaging with local media to promote your campaign, promotional materials etc. yes no
Would you like to receive a quarterly newsletter about Anti-Tobacco Youth Campaign national activity? yes no
Any other information or comments about your group
 

 

Thank you for taking time to complete the application form. We wish you every success in the running of your group and look forward to hearing about your local activity which is essential for the development of the Anti-Tobacco Youth Campaign.

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