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*Type of Business	Public House Office Engineering School Shop House Restaurant Disco / Band Other
If other then please specify
*Number of items to be tested (approx)
*When does the testing need to take place?	As soon as possible Within the next month Within the next 3 months Undetermined/will confirm later
*Contact Name
*Address
*Telephone Number
Email Address
*Number of sites
*Prefered means of reply from Reedsafe	Email Telephone Not fussed!