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Required = **

Please confirm you would like to receive regular bulk (30 or more) copies of the Pink Paper every issue **

Yes, this is new order
Yes, but I want to amend my existing order
No, I wish to cancel or suspend delivery
I have requested copies but they have not been delivered

How many copies do you want each time?

30
60
80
0 (cancellation)

Name of usual delivery contact **

Contact job title **

Contact telephone number **

Contact email **

We will require a signature on delivery as part of our auditing procedure (ABC). Deliveries will usually be made within office hours on a Thursday or Friday. Will the delivery contact be available at this time? **

Yes the contact will be available
No, but a colleague should sign instead
No, please leave with a neighbour
No-one will be available to sign

Please detail any special delivery requirements. Please note that delivery times cannot be guaranteed.

Company or Organisation name **

Door number and Street name **

Area, District or Village

Postal Town **

County or City **

Postcode **

Nature of Business/Activity **

Arts
Armed Forces
Bar/Club predominantly gay
Bar/Club predominantly 'straight'
Cafe or coffee bar
Central or local government
Community group
Charity/lobbying organisation
Education
Emergency services
Health and wellbeing
GUM
Hotel
HM Prison Service/rehabilitation
Library
Public transport
Retail
Restaurant
Sauna
Youth group
Students' union
Gym or leisure centre
Other

Are you an advertiser with the Pink Paper **

Yes, I am a current advertiser
Yes, but I am not advertising at the moment
No, but I would consider advertising
No, I do not wish to advertise

If you are scene client (gay bar or club) what is the capacity of your venue

less than 200
200 to 500
500 to 1000
more than 1000

% of customers that are gay or bisexual male **

up to 20%
20 to 50%
50 to 80%
80 to 100%

% of customers that are gay or bisexual women

up to 20%
20 to 50%
50 to 80%
80 to 100%

Are you interested in selling copies of Gay Times, DIVA or AXM **

Yes
Maybe
No
We already sell these magazines

Finally, is your organisation is a member of Stonewall's Diversity Champions Programme **

Yes
No
Don't know

Terms And Conditions

I will display the copies of Pink Paper front-page up in an attractive way, prominently placed and make them accessible to all.

I will let the Pink Paper know if I need to vary the number of copies I receive. I will also inform Pink Paper of any changes in contact details or anything else that will impact upon delivery of the newspaper. **

I agree

Pink Paper Distribution

Pink Paper distribution request/amendments (regular bulk supplies)

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