Form for Digital Registration for NQRS Weekend Workshop, Townsville Sat-Sun 27-28 July 2013

Participant (one form per participant please):	
Name	Age if under 18	
Address		
		
Email	Phone	

Cost:	 Adult member $100; Adult non-member $120 includes membership; Under 18 $50. Early bird discount $5 per participant if paid before 30 June, i.e. member $95, non-member $115, under 18 $45.

Method of Payment
Delete option not being used:
Bank Transfer: (preferred option) to:
	Westpac Account Name: NQ Recorder Society
	BSB 034 212
	Account Number 134 217
Please include name in reference line and confirm by email with name(s) of participants to info@nqrs.org.au.
Cheque or Money Order: payable to NQRS. Post to:
	Ian Montgomery
	454 Forestry Road
	Bluewater Qld 4818

Skill Level:
There will be two streams of workshop sessions depending on playing ability and experience in playing in ensembles. Please indicate your level. Delete option not being chosen:
	Beginner-Intermediate
	Intermediate-Advance
You will have the option to change level after the first session if you are uncomfortable with your choice.
For information or help email info@nqrs.org.au or phone Ian 0411 602 737
North Queensland Recorder Society
Digital Registration Form Weekend Workshop July 2013