Steve Waterman Contemporary Big Band Jazz Weekend Friday April 15th - Sunday April 17th 2011 at The Diplomat Hotel, Llanelli, South Wales. Application / Booking Form - PLEASE COMPLETE IN BLOCK CAPITALS ABOUT YOU - Full name: Full postal address:
Post Code: Telephone - Landline:
Mobile:
e mail address: Please indicate your age range:
18-25
26 - 35
36 - 50
51 - 65
Over 65
MUSICAL DETAILS: What is your instrument: What is your current grade / standard of play? Please give any information regarding your experience, other instruments played etc that may help us understand your current level of play.
ACCOMMODATION: please tell us your required accommodation / facilities - tick the appropriate boxes: I will be resident I wish to have single occupation of a standard en-suite room I wish to share a double / twin room with ....................................................................................... If a single room is not available, would you be prepared to share? (YES or NO) I have special dietary requirements. Please indicate these on the reverse if this sheet. I require wheelchair access / I have other access or medical needs. Please inform us of these on the reverse of this sheet. BOOKING INFORMATION: FEES - Inclusive of group tuition, accommodation & meals from Friday evening - Sunday afternoon. £330.00 DISCOUNTS - for returners who have attended the Big Band Weekend before, fees are reduced to £305.00 PAYMENT - is accepted by cheque or BACS. We also accept PAYPAL - however unfortunately we have to pass their finance charges to you - please add £10.00 per transaction. (Including deposit payments). RESERVE YOUR PLACE - One booking form is required for each place on the weekend, together with a £50.00 deposit. The balance is payable by 31st January 2011. If you if you are booking after 31st January 2011, full payment will be required immediately, but first please call to confirm availability. TERMS & CONDITIONS: Please tick the box to accept our booking conditions (these can be obtained from our office or downloaded from the website). Please complete the following by ticking the appropriate box and deleting text depending on payment made. I enclose a payment of £50.00 / I have paid £60.00 by PayPal to reserve my place, with the full balance payable by 31st january 2011 I enclose the full amount of £350.00 / £305.00 / I have paid £360.00 / £315.00 by PayPal Thank You! Now lastly, please tell us how you heard of the weekend:
Steve Waterman Jazz Weekend: 24, Llwyn y Gog, Rhoose Point, Vale of Glamorgan, CF62 3LS. t: 01446 713 301 e: lorraine@swjo.co.uk