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Sign Up Form - January 2021
Term dates: Mondays 18th January - 29th March 2021 (10 sessions)
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Name
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Instrument
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I agree to make the payment of £68 (termly subscription fee - 8 weeks) directly to the Jazz Factory account. Bank HSBC, Sort Code: 40-13-17, Account no: 71367021. Use name as Ref.
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What would you like help with for your 15-minute one-to-one slot? If you are not sure, you are welcome to play a solo for some feedback.
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ONLY COMPLETE the following questions if we do not already have your 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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Are you a UK taxpayer?
Yes - (We will send you a Gift Aid form to return to us)
No
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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?
Yes
No
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How did you hear about Jazz Factory?
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