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Organisation and Contact Information
Organisation Name* 
Organisation Type*
Select Organisation Type
Address*
City*
Postcode*
Country*
First Name*
Surname*
Telephone* 
Mobile* 
Email*
Astronaut / Speaker
Flexible with dates     
Select Astronaut / Speaker*  
Select Astronuat or Speaker
Interview Information
Type of Interview*
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Interview Topics* 
What is the aim of the Interview*  
Type of Audience?*  
What is the level of explanation?*  
Interview Duration (HH:MM)*  
If broadcasted, will it be?     
If Recorded, how much will be used (HH:MM)   
Name of interviewer*  
Other people taking part?  
Topics Attachments (Pdf or Word)
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