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Brockley Max 2017 Event Form
One form per event to be completed in full & returned by 28 March 2017. Event forms received after this date will not be included in the printed programme.
Email address
Name
Your answer
Phone Number
Your answer
Title of Event
Your answer
Date of Event (click all dates if on for more than one date).
Main festival?
Event Start time (24 hr clock)
Time
:
Event end time (estimate if not sure)
Time
:
Venue (must be confirmed with the venue.) There's a list on http://brockleymax.co.uk/brockley-max-venues)
Your answer
Description (no more than 100 words. We reserve the right to edit for the programme.)
Your answer
Category of your event for the website (up to 2)
Required
Are children welcome?
Website/SoundCloud URL
Your answer
Twitter handle
Your answer
Facebook page
Your answer
Instagram name
Your answer
If there is an entrance fee please specify amount
Your answer
Payment per event for inclusion in programme (see T&C 3)
I have read the Terms & Conditions (https://drive.google.com/drive/folders/0B4p9HqX5c8smaTZtbGs5LWRmaGc) & an happy for the information above to be stored.
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