2000 Midwest Fleadh Cheoil On-Line Registration
Please fill out one form per competitor and/or group

Question 1
Your Name
.
Question 2
Street Address
.
Question 3
City, Sate/Province
.
Question 3
Zip/Postal
.
Question 4
Area Code & Phone
.
Question 5
E-Mail
.
Question 6
Age (as of 01-Jan-99)
.
Question 7
Date of Birth
.
Question 8
Name & No. of Competition(s)

$8 for first comp
$4 ea addl comp
Question 9
CCE Member		 Yes No
Question 10
Branch Name
.
Question 11
Yes, I would like to join CCE and my membership will be included in my cheque.
  • Senior $20
  • Junior $5
  • Family $35

You will receive your membership by return mail. Membership includes 4 issues of Treoir magazine.

 Yes No

Additional information about Fees.
Question 12
Non-Members -
Select one:		 Over 18 - $15 Under 18 - $5
Question 13
Amount Owed
.
Entries MUST be received by April 16, 1999. Entries received after that date must be approved by the Fleadh committee and will be subject to a $20 late fee which must be paid before the competition. Submit online entries and mail entry fees to:
Comhaltas Ceoltoiri Eireann
c/o Karen Law
1407 N. Pleasant
Royal Oak, MI 48073

fax: (248) 837-8418
Question 14
Group Name
Any group of 2 or more competitors. Grupai Cheoil, Ceilidh, Bands or Dance .
Question 15
Group Leader's Name
.
Question 16
Group Leader's Phone
.
Question 17
List the members of your group. (up to 20)

Comments or Questions
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