| First name | Surname |
| Address
|
|
| Phone | |
| I would like to attend the Singing Days on (tick as appropriate) |
18. Sep 2010 16. Oct 2010 20. Nov 2010 11. Dec 2010 15. Jan 2011 19. Feb 2011 19. Mar 2011 21. May 2011 18. Jun 2011 16. Jul 2011 |
| I enclose a cheque for £30 × (payable to Linda Glenn) |
Yes/No |
| I would like to be considered as a volunteer | Yes/No |
| If you are a member of a singing group, please say which. |