| Register and pay on line or print form and either post to Mungindi Music Festival PO Box 150 Mungindi 2406 or Fax to 02 6753 2715. Make cheques payable to Mungindi Music Festival. REGISTRATION IS $35 PER STUDENT and $75 PER ADULT. If you're registering as a group we require the total group payment (ie $35 x number of students & $75 x number of adults). | |||
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name of group:
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______________________________________________________________ | ||
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name of contact person:
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______________________________________________________________ | ||
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address (No PO Boxes):
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______________________________________________________________ ______________________________________________________________ ______________________________________________________________ |
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phone:
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_____________________ | fax: | _____________________ |
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e-mail:
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______________________________________________________________ | ||
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Number of members in group? ______ |
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| List members of group | |||
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______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ |
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| What sort of music do you play? | |||
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| Have you contacted Mark Walton, the Music Co-ordinator at mark.walton@optusnet.com.au? | |||
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Yes No | ||
| Have you booked your accommodation? | |||
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Yes If Yes, where? No If No, would you like help? |
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| Date of arrival: ______________________ How are you getting to Mungindi?____________________________________ |
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| Credit Card Type | Mastercard Visa Bankcard |
| Credit Card No. | _____________________________________________ |
| Name on Card | _____________________________________________ |
| Expiry Date | _____ / _____ Last 3 digits - back of card _______ |
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The Mungindi Music festival is a subcommittee of the Mungindi Progress Association Incorporated Y2937447 |
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