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Name

First Name

Last Name

Email Address

Are you a Conservative Party Member?

Age

Date of Birth

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What's your twitter handle?

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Constituency

University

I confirm that I am over 16 years old and I am happy to receive newsletters and up-to-date information from Blue Beyond. I understand that my data will be held for as long as I am registered as a member with Blue Beyond and I will continue to receive such communications. You can amend this by changing your communication preferences or by sending an email to bluebeyonders@gmail.com.

Yes

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No