Registration Form

British Browncoat Ceilidh Registration Form

For postal applications only, fill it in, and follow the instructions at the bottom.

Name:

Address:

Email:

Name on badge (if different to above):

WE ARE REGISTERED WITH ELECTRICAL EGGS

Please indicate if you have any special needs (such as wheelchair space or other access):

You will receive temporary badges, information and a registration form for Electrical Eggs (which you send back to them, not us!).

Please send a Sterling cheque for £25.00 EACH(made out to Kumara Conventions) with

ONE LARGE SELF-ADDRESSED ENVELOPE to:-

Kumara Conventions, 5 Manor House Road, GLASTONBURY, Somerset, BA6 9DE

All delegates attending the convention will arrange and pay for their own food and beverage requirements. All delegates will also be responsible for booking and paying for their own accommodation.