Band Showcase 2012 Application Form

Your Name:*

Band Name:*

Your Contact Number:*

Your Email Address:*

A Description of the Band:*

Your Website Addresses (Inc. Social Media):*

Please Tick Which Dates You Can Make:*
1. Friday 6th January
2. Saturday 7th January
3. Friday 13th January
4. Saturday 14th January
5. Friday 20th January
6. Saturday 21st January

Which Showcase Slot Would You Prefer? (see above):*
No preference
Slot 1 - 10.30-11pm
Slot 2 - 11.30-12am

Any Other Questions or Comments?:

Please type the text below: