Application form for Manchester (Eccles) playday

Saturday 9^th May, 10:30am-4:45pm

Please fill in the form below, and send to:

Manchester (Eccles) playdays,

PO Box 154,

Erith,

Kent

DA8 9DG

Please make cheques (£6 for each musician) payable to Barry Sullivan.

Name

AB forum name (if applicable)

Address, including postcode

Phone number

Email address

Instrument, with approximate standard (eg grade level)

For under 18s – name and signature of parent/carer, plus name and signature of person looking after applicant if not the parent/carer

Telephone queries : Barry Sullivan – 07984 150688

Thank you for your application!