REGISTRATION FORM - NORTH ATLANTIC REGION #1
Regional Event - RQA Day
Date — August 2, 2008
Registration Deadline —July 1,2008
Registration fee - $30 by deadline, $40 after deadline (at the door)
Registration must be included. Make checks payable to: North Atlantic Region #1
Chorus Affiliation________________________________ Region # ______________ Name______________
Voice Part________ Email______________ Phone #_________
___________________
________ ______________ _________
___________________
________ ______________ _________
___________________
________ ______________ _________
___________________
________ ______________ _________
___________________
________ ______________ _________
___________________
________ ______________ _________
Quartet Name ______________________
Tenor ____________________________
Lead______________________________
Bari ______________________________
Bass______________________________
Contact information:
Name_____________________________________________
Address___________________________________________
Email_____________________________________________
Phone Number _____________________________________
Box Lunch Yes_________ No___________
Sandwich choice ______________________________________________________
Box lunch
$9.00 - must be pre-paid and included with early registration. See Box Lunch choices info sheet and specify above. Make checks
payable to North Atlantic
Region #1.
Up-Scale
Box lunches
Return form
and checks to: 1. Turkey, provolone, red leaf lettuce, tomato, bulky roll
Patti Lavernoich
2. Ham, swiss, red leaf lettuce, on bulky roll
54 Rimmon Hill Rd
3. Tuna salad, red leaf lettuce, tomato, bulky roll
Beacon Falls, CT 06403
4. Hummus, grilled peppers, mushrooms, tomato,
203-881-1477 red leaf lettuce, on a wrap
eplpfl@snet.net
Each box will have:
Sandwich, whole fresh fruit, pasta salad, pickle,
chips
Homemade cookie, napkin, fork, knife, mayo,
mustard
Bottled water
Ouestions?? Contact Heidi: hzacchera@aol.com 860 678-8828
