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1 Elmton Park Mews Elmton Park Worksop Nottinghamshire S80 4GZ T. 01246 819665 e. info@workofart.uk.com

1 Elmton Park Mews Elmton Park Worksop Nottinghamshire S80 4GZ T. 01246 819665 e. info@workofart.uk.com. Business Associate Application Form. Information given by you is confidential and will not be released to third parties.

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1 Elmton Park Mews Elmton Park Worksop Nottinghamshire S80 4GZ T. 01246 819665 e. info@workofart.uk.com

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  1. 1 Elmton Park Mews Elmton Park Worksop Nottinghamshire S80 4GZ T. 01246 819665 e. info@workofart.uk.com Business Associate Application Form Information given by you is confidential and will not be released to third parties.  Completing this form places no obligation on you or on any other party. (Please circle the most appropriate multi choice answer) Personal Details: Name:______________________________ Date of Birth_________________ Male/Female Address__________________________________________________________________________________________________________________________ Post Code________________ Tel:______________________ Mobile___________________ E Mail__________________ What are your main hobbies and interests? ______________________________________________________________________________ Are you currently working? Full time/Part time/Not working How much time are you able to devote to this business?(hours per week) __________ What interests you about this business? _____________________________________________________________________________ Do you currently have?: Own transport Y/N Access to a computer Y/N Access to internet Y/N Digital Camera Y/N Please note that these items will help you to get started but are not essential Signed:_____________________________ Date:_______________________________ Thank you for completing this brief application and we will contact you in the next few days and hope to met you soon.

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