REGISTRATION FORM
To register for Singing in Havana 2012, all you need do is to send an email with the information requested on this form to avdb@lacock.org . Alternatively, you can print out the form and send it with your deposit to Andrew van der Beek, Cantax House, Lacock, Chippenham, Wiltshire SN15 2JZ.

name

 

telephone

 

email

 

address

 

 

voice (S, M, A, T, Bar or B)

 

To reserve a room at the Hotel Tejadillo, please give dates of arrival and departure.

I register for Singing in Havana 2012. You may pay the deposit by any of these methods:

    a sterling cheque for £145 payable to A van der Beek

    online transfer of £145 to account 00703787, sort code12-11-03, or for international transfers, IBAN GB02 BOFS 1211 0300 7037 87, BIC BOFSGB21238

    in the Netherlands, a transfer of €167 to account 83.52.00.205 (A van der Beek, Lacock)

    elsewhere in the Euro area, transfer of €167 to IBAN NL23 FTSB 0835 2002 05, BIC FTSBNL2R.

 

    signed                                                                              date