Download a printable copy of this form as a MS Word .doc
MERIMBULA
JAZZ FESTIVAL INC.
Celebrating 30 Years of Jazz in June
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