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WIN TWO RETURN TICKETS
TO ISRAEL FROM BRITAIN.

Fill in this questionnaire and not only will you have the chance to win two return tickets to Israel but you will help start a national grassroots network in the UK of advocates for Israel.

YOUR DETAILS
(* indicates required)

Name*
Address*
Postcode*
Email*
Phone

HOW YOU CAN HELP

Please tick as applicable:

Task I know how to do this and can help by doing it I would like to help with this but need further training


Receive free email updates  
Monitor local media  
Attend local pro-Israel meeting  
Host a meeting  
Organise a dinner party for undecided friends and contacts  
Attend local anti-Israel meeting  
Write letters to the press  
Write letters to MPs  
Use Facebook  
Use Twitter  
Comment on blogs  
Write blog posts  
Lobby my local councillors  
Lobby my local MPs  
Attend rallies or demonstrations  
Attend a more intensive training event to become a “super-activist”  
Organise a local pro-Israel group  
Deliver leaflets in my area  
Write local literature  
Design local literature  
Be active in a trade union or professional body  
Be active in a political party  
Speak at meetings or debates  
Donate to help fund campaigning  


Further information:

Which news publications do you read? (Please list all print and web titles e.g. The Times,The Economist, the Daily Mail website etc.)
Which news programmes do you follow? (Please list all TV and Radio programmes e.g. BBC One’s News at Ten, Radio 4’s Today programme etc.
Please list any social media you use e.g. Facebook
Twitter
Linkedin
Other social media
Your Twitter handle or blog address
Are you a member of a political party? Yes
No
Please state which one and any positions held
Are you a member of a trade union or professional body? Yes
No
Please state which one and any positions held
Which university/college did you attend?
When did you graduate?
Please list any other organisations you are involved in
Employment: your current/last job
Any other campaigning skills you have which are not listed above


To download this form as PDF click here.

Return it by post to:

BICOM
BCM Box 5708
London
WC1N 3XX



 
 
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