Wind Chamber Music Weekends
 
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Application Form

WIND CHAMBER MUSIC WEEKENDS

Please print this form and return with cheque to the following address:

78 Pakefield Road, Lowestoft, Suffolk.NR33 0HX
Tel: 01502 581427
 janet@windchambermusic.org.uk

I should like to apply for the following course/s:
  • Green Pastures, Poole Dorset                  ____
  • Belstead House, Ipswich, Suffolk: ____

Name_______________________________________________

Address:___________________________________________

___________________________________________________

___________________________________________________

Tel:_______________________________________________

Instrument(s):_____________________________________

Approximate Standard:


Room Preferences
Please mark as apropriate:

Green Pastures
  •  Single £180                       ____
  •  En suite, single or shared £190:  ____
  •  Non-residetial £150:              ____
Belstead 
  • Rates for Belstead not fixed so for early booking please just pay £75 deposit.

Most rooms are en suite, I will try to accommodate your preferences, but please bear in mind that everyone would prefer ensuite.

If sharing, give name of other occupant:_______________________

Special Requirements:

Room:__________________________

Diet:__________________________

Non-returnable deposit: £75
I should like to attend the course/s and enclose a cheque for £__________ as full payment/deposit

Signature:________________________________

Please make cheques payable to Janet Myatt and return to the above address.