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

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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.