The STAND UP recording form will only be availible from 10am GMT 15 October to 9PM GMT 16 October.

These are the fields you will fill out online.

> Title
> First Name*
> Last Name*
> Name of organization if appropriate:
> Address Line 1:*
> Address Line 2:
> City:*
> State / Province:*
> ZIP/Postal Code:*
> Country (drop down menu):*
> Region (Africa, Arab Region, Asia, Europe, Latin America & Caribbean,
North America, Oceania):*

> E-mail address*
> Telephone Nos:
> Location of Stand Up moment:*
> Date of Stand Up moment:*
> Number of people that Stood Up:*
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I confirm that the above information is accurate to the best of my knowledge

> Type Name:* e.g. John Smith
> Initial form:* e.g JS

> Write a brief overview of their event (including where it was, how many people stood up,Celebrity / high profile participation, atmosphere, notable highlights)

> Upload images

> Upload video

* = required field