On-Line Registration, 2002 Midwest Fleadh Cheoil

On-Line Registration Form
Midwest Fleadh Cheoil, April 27, 2002
Please fill out one form per competitor and/or group
Required fields marked with an asterisk "*"

Question 1 *Your Name .
Question 2 *Street Address .
Question 3 *City, State/Province .
Question 3 *Zip/Postal Code .
Question 4 *Area Code & Phone .
Question 5 E-Mail .
Question 6 *Age (as of 01-Jan-2002) .
Question 7 *Date of Birth .
Question 8 *Name & No. of Competition(s) $8 for first comp $4 ea addl comp
Question 9 *CCÉ Member	Yes No
Question 10 Branch Name .
Question 11 *Yes, I would like to join CCÉ 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
Question 12 Non-Members - Select one:	Over 18 - $15 Under 18 - $5
Question 13 *Amount Owed .	Entries MUST be received by April 13, 2002. 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 Ceoltóirí Éireann c/o Sean Fallon 14830 Cherry Lane Plymouth, MI 48170
Question 14 Group Name Any group of 2 or more competitors. Grupaí 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
Click the "Continue" button to review your submission.

Rev: 21-Jan-2002 - Contact Webmaster