Name(s) | : | ||
Badge name(s) (if not as above) | : | ||
Address | : | ||
City/Town | : | ||
County | : | ||
Postcode | : | ||
email address and/or phone number | : | ||
(Optional but helpful if we need to contact you) | |||
Quarter Tone would like to provide PRs in electronic format where possible and convenient. Would you prefer to receive |
|||
: PR by post | : PR by email (above) | : Link to PR in email | |
(please tick one) | : ___ | : ___ | : ___ |
Willing for badge name to appear on the web list of members | : Yes / No | ||
Membership type | (please enter number required) | ||
Full Attending (£35) |
Concessionary (£22) |
Child aged 5 to 17 (£1 per year of age) |
Child under 5 (£0) |
_____ | _____ | _____ | _____ |
I agree to have my details stored in a database for the use of UK filk conventions. | |||
Signed | : | ||
Date | : | ||
If you would like a programme slot, please also send a set request. We cannot guarantee to fit everyone in, but we will try! |
Notes:
Please send completed applications to:
Quarter Tone,
c/o 15, St. Catherine's Cross,
Bletchingley,
Surrey, RH1 4PX
U.K.