Thanks, we have received your registration form. If you have paid by PayPal the process is now complete. If you are paying by Cheque or Direct Deposit, we will keep an eye out for your payment (click here for payment details). If we don't see it in a few days we will follow up with you.
The details of your submission are below:
| Name | <%fieldname1_value if_not_empty%> <%fieldname27_value if_not_empty%> |
| <%fieldname2_label if_not_empty%> | <%fieldname2_value if_not_empty%> |
| Address Information | |
| <%fieldname3_label if_not_empty%> | <%fieldname3_value if_not_empty%> |
| <%fieldname4_label if_not_empty%> | <%fieldname4_value if_not_empty%> |
| <%fieldname6_label if_not_empty%> | <%fieldname6_value if_not_empty%> |
| State | <%fieldname5_value if_not_empty%> |
| <%fieldname7_label if_not_empty%> | <%fieldname7_value if_not_empty%> |
| Contact Information | |
| <%fieldname11_label if_not_empty%> | <%fieldname11_value if_not_empty%> |
| <%fieldname8_label if_not_empty%> | <%fieldname8_value if_not_empty%> |
| <%fieldname9_label if_not_empty%> | <%fieldname9_value if_not_empty%> |
| <%fieldname10_label if_not_empty%> | <%fieldname10_value if_not_empty%> |
| Payment Information | |
| Cost | <%fieldname25_value if_not_empty%> |
If you see any errors in the information provided, please contact 02 6495 9853 or email [email protected]. Thank you again for your registration and we look forward to seeing you soon!
Yours in Jazz, The Merimbula Jazz Festival Committee
merimbulajazz.org.au