REGISTRATION FORM

To register for the Scottish Early Music Week, please email, fax or send the completed form to Andrew van der Beek, Cantax House, Lacock, Chippenham, Wiltshire SN15 2JZ, England. avdb@cantax.freeserve.co.uk

name

 

telephone

 

email

 

address

 

 

voice - S, M, A, T, Bar or B?                              under 25?                                          vegetarian?

 

I register for the 2006 Scottish Early Music Week and enclose (or in the Netherlands am transferrring to Fortis Bank account No 83.52.00.205, A van der Beek) my deposit of £160 or Euro235 for each week. Please make cheques payable to A van der Beek.If you are a music student wishing to apply for a scholarship, do not send a deposit and tick here.

 

 

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