Monday 23rd March - Tuesday 24th March 2012
Closing date for entries: Wednesday 18th January 2012
Please complete all fields marked with an *
Person to whom correspondence should be addressed:
Please indicate*
Name *
Address *
Address
City *
Postcode *
Telephone *
Mobile
Email *
Name of teacher
Telephone
Class no *
Class name
Class fee (£)
Name of entrant(s) * Include all names in duets & trios
Date of Birth If they are under 21
Special Needs
PLEASE USE A SEPARATE FORM FOR EACH ENTRY
Title *
Composer/Arranger *
Publisher
Duration (mins)
I have read and agree to abide by the General Rules and Music Rules contained in the current syllabus. *
I have read and understood the Child Protection Policy *
Total payment required (£)
Payment may be made electronically quoting ref PIA012 and name or by cheque.
Please indicate *
Bacs
Cheque
Bacs Clearing Bank Number 60-02-05. Account Number 59342072.
Cheques should be made payable to Mid-Somerset Festival and sent to Mr M Cawte, 6 The Chestertons, Bathampton, BATH BA2 6UJ within 5 working days
Entries will not be processed until fees are received.
Confirmation of receipt will be sent via email.
