Burstin' with Broadway sample sign up form

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2015-16 registration form.

Basic Info

First name *

Middle initial

Last name *

Gender *

Male

Female

Voice part *

Contact info

Street address

City

Province

Postal code

Home phone

Cell phone

Work phone

Primary email

Secondary email

Membership Fees

Choose one of the following payment plans and enclose all appropriate fees with registration *

Option 1: Payment by cheque of $470.00 (GST included) upon registration. Payable to BWB PRODUCTIONS LTD.

Option 2: Two cheques of $235.00 one dated upon registration and the second cheque dated Oct. 1st, 2015. Payable to BWB PRODUCTIONS LTD.

Option 3: Five cheques (all cheques must be postdated and received in order for registration to be complete). 5% financing fee applied. First cheque upon registration: $150. Sept 1st, Oct 1st, Nov 1st, Dec 1st - $85.88.

Option 4: Eight monthly payments of $63.45. First payment upon registration. Only available with paypal.

Other Costs

There are no additional mandatory costs.

Whistler Retreat November 20th-22nd – Out of Town (optional but great fun!): approximate cost $250 (for accommodation and
workshop/events) based on shared accommodation.

Method of Payment

Cheque(s), Money Order(s): must be enclosed with application and payable to Burstin with Broadway.

Payment can also be arranged through PayPal.

Applicant’s Agreement

I have reviewed the calendar of events for the year included in the Registration Package and by registering, make a commitment to attend regularly to the best of my ability and abide by the attendance and refund policy as posted on www.burtinwithbroadway.com and below.

Type your full name to digitally sign this agreement *

Burstin With Broadway collects the above information to registration purposes only. The information is used to compile a listing of choir members, phone numbers, e-mail addresses, and is not shared with any outside groups. This listing is provided to each member of the choir in order to allow members to contact one another and the list is ONLY for choir business. Members’ names are published in printed programmes as well. Registration is express agreement to allow images and recordings of individuals and groups to be broadcast on such media as is appropriate to the promotion of Burstin With Broadway unless choir member submits a written letter expressing his/her objection to having photos published.

Refund Policy

Withdrawal prior to Oct. 6th, 2015: Full refund less $140 (non-refundable registration fee of $100 plus $40 music fee) if music is returned without any marking and in new condition no later than Oct. 6th, 2015 rehearsal you will be refunded the music fee. Fees are non-refundable for any withdrawals after Oct. 6th, 2015. Withdrawals must be communicated by email to claudia@burstinwithbroadway.com before the cut-off date.

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