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Sign Up Form - November 2020
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Instrument
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Please select for Jazz Factory weekly Monday evenings. (5 sessions). (If you need to isolate you can transfer to the online sessions for those weeks).
Wiltshire Music Centre sessions - Face to Face £60 - Monday evenings 7.30 - 9pm
Zoom sessions with one Group Leader - £35 - Monday evenings 7.30 - 8.45pm
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I would like to attend Jazz Factory extra 'add on' Zoom session on Wednesdays as well as, or instead of Mondays. (5 sessions)
Extra 'add on' Zoom session - £30 - Wednesday evenings 7.30 - 8.30pm
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I agree to make the payment of (please write total below) directly to the Jazz Factory account. Bank HSBC, Sort Code: 40-13-17, Account no: 71367021. Use name as Ref.
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Are you a UK taxpayer?
Yes - (We will send you a Gift Aid form to return to us)
No
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Complete the remaining questions if you are a NEW or RE-JOINING MEMBER to Jazz Factory and we, therefore, don't have your up to date details
I am a new member
I am a re-joining member
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Email address (We will use your email to add you to our Mailchimp members list to contact you about Jazz Factory and any related jazz events. You can unsubscribe at anytime)
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Postal Address (optional)
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Mobile number (required for track & trace for F2F)
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Occasionally we use images and recordings of Jazz Factory members for promotion or showcasing what we do. These may appear on the website or our Facebook page. Do you consent to this?
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No
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How did you hear about Jazz Factory?
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