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* 1. Your Name

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* 2. Do you work or volunteer for the organisation you're nominating?

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* 3. Please tell us the name of your chosen charity or organisation

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* 4. Tell us a bit about the work your chosen charity does:

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* 5. What colour lights would best represent this charity?

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* 6. Is there a specific date or month you think this charity should be represented?

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* 7. Please leave your email address if you would like to be informed that your charity has been chosen:

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