Bids

Delegate Name: *
Job Title:
Organisation: *
Address: *
Telephone: *
Fax:
Email: *
Invoice address (if different from above):
Purchase Order reference (if required):
Dietary or other requirements:
Event:	--- Select Event --- Scotland’s towns in 2050 Study Visit: Scarborough Study Visit: Aberdeenshire Towns
Equal Opportunities Monitoring This section of the form will help us to identify any groups of people that are underrepresented at the event and give us an idea of where further promotion may be needed in the future. All information is confidential and any analysis which we undertake will not link these answers with any information about you as an individual. Completion is voluntary but your co-operation would be very much appreciated.
Age Range:	--- Selecte Age Group --- Up to 24 25 – 39 40 – 49 50 – 64 65 and upwards
Disability – do you have	No disability or impairment A sensory impairment A learning disability A physical impairment A mental health condition Any other disability or impairment
Ethnic group (based on the 2006 Census test categories):	--- Select Ethnic Group --- Scottish English Welsh British Northern Irish Irish Other European Bangladeshi Chinese Indian Pakistani Sikh Other Asian North African Southern African East African West African Central African Caribbean Other African Caribbean Middle Eastern Arab North African Arab Other Arab Any multiple background Gypsy or Traveller Jewish Other not mentioned
Gender	Male Female
Religion – which religion / denomination to you belong to?	--- Select Religion --- Church of Scotland Roman Catholic Other Christian Buddist Hindu Jewish Muslim Pagan Sikh Any other religon
Sexual orientation - which of the following best describes your sexuality or sexual identity?	--- Select Sexual Orientation --- Heterosexual Lesbian/Gay Bisexual Transgender
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