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Please print the form below and mail it with your cheque for the participation fee and any afternoon tickets to
Catherine Jennaway
16 Moorfields Close
Staines
TW18 3LU
Please make cheques payable to Catherine Jennaway. Alternatively, payment by Paypal is available, e-mail Catherine for details.
Adult Learners' Concert Application Form Teddington 2010
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Name |
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ABRSM sign-on (if applicable) |
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Address (including postcode please) |
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Phone |
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Instrument |
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Do you need an accompanist? |
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Proposed piece - title |
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- composer |
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Duration (max 5 minutes, please) |
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Number of afternoon tickets required |
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Names of afternoon guests |
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Registration number of vehicle |
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I enclose a cheque for £............................
Acknowledgement of applications received will be sent by e-mail unless a SAE is enclosed.
Closing Date 20th January 2010
If you have not received your acknowledgement before 30 January 2010, please either e-mail or telephone me (details on the main information page)