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Booking for REYNARD MUSIC LIGHT FANTASTIC WEEKEND

(Form issued 11 January, 2012)

19:00 Friday dinner, 21st to Sunday ~16:30 tea, 23rd September, 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:

INSTRUMENT STANDARD (see below)


……………………………………………… …………….


……………………………………………… …………….


……………………………………………… …………….

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

If I do not know you already, would you be so kind as to write a couple of sentences about your playing experience?:

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 "Middle Aston 11/11 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 - to ensure a fit with active groups.

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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