Mull Mod 2008 - Senior Entry Form
Name
Duet Partner
if applicable
Address
Postcode
E-mail
Telephone
Day/Evening
Competitions Numbers as per syllabus
Please indicate if Gaelic testing required
Entry Fees
| Solo |
£1.00 |
|
| Duet |
£1.50 |
|
| |
Total |
|
Name of Cardholder
Card Number
3 digit Security Number
Expiry Date
Issue number
CLOSING DATE FOR ENTRIES IS 31 JULY 2008.
NO LATE ENTRIES WILL BE ACCEPTED.
2 COPIES OF ALL OWN CHOICE MUSIC MUST BE SUBMITTED BY 31 JULY 2008.