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Your Membership Number Title Mr Mrs Miss Ms Your First Name Your Surname Your E-mail address (For a reply to be sent) Workplace Name Question for: (Please select one) Kevin Beazer (Regional Secretary) Matt Gillett (Regional Asst Secretary Fred Simpson (Regional Chair) Not Sure Please put your question here, which will be passed to the person requested or the appropriate officer for a reply Your Comments will be answered as soon as possible. Thank you for using this new interactive web service. Regards Kevin Beazer CWU Regional Secretary (South West)