| First name | Surname |
| Address
|
|
| Phone | |
| I would like to attend the Singing Days on (tick as appropriate) |
25. Feb 2012 24. Mar 2012 21. Apr 2012 19. May 2012 16. Jun 2012 21. Jul 2012 |
| 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. |