Juggling Talk Request Form

If you don't like this form then feel free simply to ignore it all and send mailto:juggler@solipsys.co.uk commenting on why you didn't like it.

What is eight plus 5? (digits only)REQUIRED!!
Your email address REQUIRED!!
Your real name
Organisation
Place for the lecture
Postcode (so I can download a map)

You must answer the first
questions, else your email
will be discarded as spam.

Please click as many buttons as you like - this should take no more than about one minute, otherwise you're thinking too hard. You can leave blank as many as you like.

Have you read my Juggling Talk Requirements?

Audience:
14-16
Student
Adult
Professional
Retired
Mixed
Other

Time:
Morning
Afternoon
Evening
Weekday
Weekend
Anytime
Other

When:

Very soon
In a few weeks
In a few months

You can select a collection
of months (You may need to
hold down the control or
shift keys while you click)

You can add anything here you feel I've missed. Don't forget, you can always just send mailto:juggler@solipsys.co.uk

Put your message here ...

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Quotation from
Tim Berners-Lee

Juggling Talk Request Form

Contents

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