AYS

Aotea Youth Symphony 25th Anniversary Celebration Mt. Albert War Memorial Hall Saturday 28th April, 10:00a.m. Registration and 7:00 p.m. Reunion Concert
Original Surname		Original Forename	(The name by which we knew you)
Current Surname		Current Forename	(Only if your name has changed)
Address: Street		Address: Suburb
Address: City		Address: Postcode
Email address		Confirm Email address
Mobile phone (no spaces)		Home phone (no spaces)
Membership Years (from...to)		Do you wish to play in the Reunion Concert?
Instrument(s)		I still have an instrument
Registration $15
Reunion Lunch adults $30
Reunion Lunch children (12 and under) $15
Total payment
Numbers attending Evening Concert - Free
Comments
If paying by direct credit pease pay to ASB account 12-3029-0257479-53, Aotea Youth Symphony. Please ensure your name is also on the details, otherwise we will be unable to match up payments. If paying by cheque, please print this form and enclose it with a cheque made payable to "Aotea Youth Symphony" and post to Aotea Youth Symphony, Box 56472 Dominion Road, Mt Eden 1441.
If you have queries, either email us (preferably) or phone +64 9 626 5170.
	To protect us from spam please enter the following code (ignore the light grey letters)