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to Home PageMòd Vancouver 2007
Entry Form
Deadline for Entries: April 1, 2007
| Name: | ____________________________________________________ |
| Address: | ____________________________________________________ |
| Telephone: | ____________________________________________________ |
| Email: | ____________________________________________________ |
| Fluency in Gaelic: | O Fluent | O Some Knowledge |
| O Fairly Fluent | O Beginner |
Please enter my name in the following Competition(s):
| A. | Solo Competitions: | ___________________________ | Competition No. | ____________________ |
| B. | Duet Competitions: | ___________________________ | Competition No. | ____________________ |
| C. | Quartet/Group Competitions: | ___________________________ | Competition No. | ____________________ |
| Name of Quartet/Group: | _______________________________________________________________ | |||
| Names of Participants: | _______________________________________________________________ | |||
| D. | Choir Competition No. | ________________________ | Telephone No. | _______________________ |
| Choir Name: | ________________________ | Fax No. | _______________________ | |
| Contact Name: | ________________________ | Email: | _______________________ |
I enclose $__________ to cover my/our fees.
DATE_________________ SIGNATURE:_______________________________________
Please pay in Canadian Funds. No out of country (Canada) cheques will be accepted. Cheque or money orders to be made payable to Mòd Vancouver and sent to the competition secretary as follows:
| Dolly MacKay | Telephone No. 1-604-575-7688 |
| 16631 59A Avenue | Email: dollymackay@shaw.ca |
| Surrey, B.C. V3S 4N9 | |
| CANADA |