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Please note Valpak's deadline for new members for the 2008 compliance year is 31 March 2008.

Title *
Forename *
Surname *
Company *
Company registration number	(look for this on your letterhead)
Address *
Address
Address
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Postcode *
Telephone *
Fax
Email
Please re-enter your email
What is your turnover	Up to £5m £5m - £50m £50m - £100m Over £100m
Have you been contacted by the Environment Agency (EA), Scottish Environment Protection Agency (SEPA), or Environment and Heritage Service (EHS) *	yesno
Have you been registered before? *	yesno
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