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| Your name: |
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Your email:
(optional) |
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Organisation:
(if applicable)
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Please fill in your Hero's details: |
| Hero's family name: |
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| Hero's given names: |
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Family name comes after:
given names |
e.g. Nelson MANDELA rather than LEE Bin An
(used for printing alphabetical lists)
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| Hero's country: |
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Hero's web page:
(if they have one) |
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| Hero's picture: |
GIF or JPEG file MAXIMUM 40k and 200x200 pixels. |
Tell Us About Your Hero:
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