September / October 2021 BOTMDG Band form
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Contact name *
Band name
Email address *
Phone number *
Band web site / social media page if you have one
Band members and instruments *
Please follow this example format: Avery Black (clarinet), Dale Everest (flute, guitar), Harriet Ingle (jug, keyboard)
Which of these dates are you available? *
I am willing / interested in leading open mic night (check all dates you're available)
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