PROUD SON OF EDINBURGH REGISTRATION
Register for the Proud Son Of Edinburgh Event -- 21 June 2019 Bannockburn
Email address *
NAME *
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ADDRESS *
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PHONE NUMBER *
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DATE OF BIRTH *
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NAME OR NICKNAME FOR ID BADGE *
Your answer
FAVOURITE ROLLER *
Your answer
FAVOURITE ROLLER SONG
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EVER SEE THE ROLLERS LIVE? IF YES, WHEN?
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HAVE YOU ATTENDED ANY ROLLER RELATED GATHERINGS? IF YES, WHEN?
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ARE YOU A MEMBER OF ANY ROLLER RELATED SOCIAL MEDIA GROUPS? IF SO, WHICH ONES? *
GUEST/SPOUSE/PARTNER NAME (IF APPLICABLE)
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Please list any dietary restrictions/needs below for you or guest. PLEASE NOTE: VENUE WILL TRY TO ACCOMMODATE
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KINDLY REMIT YOUR REGISTRATION FEE (IN FULL OR DEPOSIT) VIA PAYPAL TO: proudsonofedinburgh@yahoo.com USING THE "FRIENDS AND FAMILY" OPTION.
A copy of your responses will be emailed to the address you provided.
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