Alberni String Quartet
Residential Course for Chamber Ensembles – Gregynog Hall, Powys - 18-20 January 2013
Generously sponsored by the University of Wales - Gregynog
BOOKING FORM

Name of Group:

Description of group (e.g. String quartet, Piano trio, etc.):

I enclose the full fees and extras for all players.
I enclose a non-refundable* deposit of £80 per person.
Strike out whichever does not apply.
* Non-refundable unless the application is refused.

Please supply the full details of all the players.

Name of leader/contact:	
Address:	

Postcode:	
Telephone:	
Special diet?	

Name of player 2:	
Address:	

Postcode:	
Telephone:	
Special diet?	

Name of player 3:	
Address:	

Postcode:	
Telephone:	
Special diet?	

Name of player 4:	
Address:	

Postcode:	
Telephone:	
Special diet?	

For groups of more than four please put the rest of the playes on a separate sheet.

Do you require an en-suite bathroom (extra £10 per person per night)?   YES / NO

Please return this form with a deposit of £80 per person (which is non-returnable
unless the application is unsuccessful) or the full fee of £270 per person (plus extras).

Cheques must be made payable to the ALBERNI QUARTET and arrive before 1st November 2012
(there is a £25 surcharge for late payment).

Send the form and payment to:-
Hillhead Cottage, Calshot Road, Calshot, SOUTHAMPTON SO45 1BR.