MÒD IONADACH NA DRÒLLUINN 2011

SENIOR ENTRY FORM

NAME

DUET PARTNER NAME (IF APPLICABLE)

CHOIR/GROUP (IF APPLICABLE)*

ADDRESS

POSTCODE

TELEPHONE

DAY

EVENING

E-MAIL ADDRESS

COMPETITION NUMBER(S) AS PER SYLLABUS

PLEASE INDICATE IF GAELIC TESTING IS REQUIRED

GOLD

SILVER

BRONZE

ENTRY FEES (per competition)

SOLO £1.00

DUET £2.00

TOTAL

*PLEASE INDICATE IF YOU ARE A MEMBER OF A CHOIR OR GROUP

CLOSING DATE FOR ALL ENTRIES IS 31^ST JULY

NO LATE ENTRIES WILL BE ACCEPTED

3 COPIES OF ALL OWN CHOICE MUSIC MUST BE SUBMITTED

BY 31^ST JULY 2011.