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MERIMBULA JAZZ FESTIVAL INC.

Celebrating 30 Years of Jazz in June

 30th Festival:  11-14 June 2010

 

 

JAZZ LOVER – DELEGATE PRE‑REGISTRATION FORM

 

 

REGISTRATION FEE: COVERS ALL VENUES ALL WEEKEND 

         EARLY BIRD (received by March 31st) иииииии. $70                       

         AFTER MARCH 31st OR AT THE FESTIVAL ииии. $80                          

 

(MUSICIANS PLEASE USE MUSICIAN REGISTRATION FORM)

 

 

PLEASE PRINT CLEARLY.                                                Badge No.  ________________   

                                          

NAME                        _________________________________   Preferred Badge Name___ _________________

 

ADDRESS  _________________________________________________________________________

                    ________________________________________________  P/CODE _________________

 

PHONE       __________________________________

 

EMAIL       __________________________________

 

 

 

 

Please enclose with this form a cheque or Money Order for the appropriate amount made out to Merimbula Jazz Festival Inc.

 

Your numbered badge is your receipt which can be collected - along with your copy of the program - from the Jazz Office at Twyford Hall, from Thursday June 10th of the Festival Weekend.

 

Please wear and show your badge to door workers on entry to all venues.

              

 

(See here to see Pre Registration Bonus Prizes)

 

 

Download a printable copy of this form as a MS Word .doc

 

Postal address:  PO Box 415, Merimbula NSW 2548

   Phone/Fax:  02 64950673   Jazz Phone: 0419 445011 

Email:  info@merimbulajazz.org.au      Website:  www.merimbulajazz.org.au