Stay connected with Connects - Mercury Theatre Colchester

Personal Details

First name*

Surname*

Email*

Phone*

Website (if applicable)

Social media handles

Address

Address Line 1 Address Line 2 City County Postal Code Country

Business/Practice Details

What type of artist/creative are you?*

If you answered 'Other' above, please specify your business

Tell us more about you! Describe your work, what fuels you, your recent successes, anything you think we should know about your creative practice!*

What is your connection to the East of England?*

What do you want to achieve long-term and how can Mercury Connects help you to achieve this? What do you hope to get out of being a member of this network?*

Do you have any access needs we should be aware of?

Communications consent

Please select the ways we can contact you*

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Would you like to be contacted by the Mercury Theatre regarding future professional development programmes?

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I understand that my contact information will be stored by the Mercury Theatre to keep me informed about Connects opportunities*

Your contact details will not be shared.

I understand

Signature*

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