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Heat Dates I CAN attend in October (All Mondays)

18.10.10
25.10.10

Please tick dates you are available
Heat Dates I CAN attend in November (All Mondays)

1.11.10
8.11.10
15.11.10
22.11.10

Please tick dates you are available
I confirm I CAN attend the Final SUNDAY 28.11.10 *

I confirm

You MUST be able to attend this date in order to enter the competition
Act Name *
Contact Address *
Contact Tel *
Alternative Tel
Email address *
Contact name *
Performers and what you play *
Type of music *
Security Code: *
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