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festival registration

Would you like to register your book festival?

* denotes a required field

Festival name* :
Contact name* :
Festival start date (dd-mm-yyyy)* :
Festival end date (dd-mm-yyyy)* :
Email* :
Phone* :
Website :
Fax* :
Nearest major town* :
Region* :
Festival description :
If you would like to upload a festival logo, please add it here (.gif and .jpg files only please) :
Write the characters in the image.

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