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Booking for REYNARD MUSIC Advanced Concert Band weekend

(Form issued 10 December, 2011)

19:00 Friday dinner, 16^th to Sunday ~16:30 tea, 18^th March, 2012 Middle Aston Leadership Centre

Name Address

(Please print)

Home phone: …………………… Work phone: …………………… Mobile: …………………………

e-mail: ……………………………………………

Please list the instrument(s) you will be bringing, and your approximate standard – do contact me to discuss if you have a choice:

INSTRUMENT STANDARD (see below)

……………………………………………… …………….

……………………………………………… …………….

……………………………………………… …………….

Approx standard: B (eginner) D (eveloper) E (xperienced) P (rofessional level)

Any queries or requests:

Access needs (please specify)? …………………………………………………………………………….

X if special diet: Vegetarian __ Vegan __ Other (specify: )

__ I enclose a cheque payable to “Reynard Music”

__ I have made a PayPal payment to reynard@dpmail.co.uk referencing "Aston ACB 03-12 weekend"

for: __ £320 (single) __ £280 (shared) __ £190 (non-residential) __ £100 (Sat) __ £70 (Sun) __ £220 (non-player)

__ £50 (non-returnable deposit)

For part-time attendance please contact Reynard Music.

I cannot attend this event but would like to be on the e-mailing list: Y / N

Post or e-mail to: Reynard Music, 4 Reynard Way, Northampton, NN2 8QX

reynard@dpmail.co.uk

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