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National Tea Break - Register your interest

If you would like to take part in this year's National Tea Break, please fill in this form.  On receipt of your application, we will register you for the event and you will receive an organiser's pack 6-8 weeks before the event.
Contact details

We will use your contact details to get in touch with you about National Tea Break. If you would like us to contact you with information on other Epilepsy Action events, please select 'Yes' above.

If you would like us to contact you by email to inform you of Epilepsy Action events, please select 'Yes' above.

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