REGISTRATION FORM
To register for the Trogir Music Week 2012, all you need do is to email 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, England

name

 

telephone

 

email

 

address

 

 

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

 

I register for the Trogir Music Week 2012. I have read the paragraph about the standard expected of participants, and consider myself a suitable candidate. I will pay the deposit by the following method (pleae tick):

    a sterling cheque for £125 payable to A van der Beek

    online transfer of £125 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 € 150 to account 83.52.00.205 (A van der Beek, Lacock)

    elsewhere in the Euro area, transfer of €150 to IBAN NL23 FTSB 0835 2002 05, BIC FTSBNL2R.

 

signed                                                                              date