Application/Registration Form

Email: summercourse@englishcamerata.org.uk or english.camerata@virgin.net

Please print and return to:

The Administrator,
English Camerata Soloists,
'Longridge',
Common Lane,
Letchmore Heath,
Hertfordshire
WD25 8EE

I/We hope to attend /confirm agreed booking at the Chamber Music Course 2012

Name(s)...........................................................................................................................

Address............................................................................................................................

.........................................................................................................................................

Tel. Home .......................................................................................................................

Tel. Mobile.......................................................................................................................

E Mail Address.................................................................................................................

Instrument(s) ...................................................................................................................

Ensemble........................................................................................................................

Please tick here if you require a shared room [ ]

How did you hear of our course......................................................................................

Special diet as applicable…............................................................................................

Course Dates attending and arrival and departure times................................................

.........................................................................................................................................

Cheque Deposit / Final payment for £....... enclosed payable to 'English Camerata Soloists'