Jam Tent Application 3rd to 5thh August '07

Please let us know how you want to get involved:

*Poetry reading/Workshops/MC/story telling/DJing *Delete as applicable

Your Details

Name: _______________________________________________________

Address: _____________________________________________________

________________________________________________________

________________________________________________________

Post Code: ____________________________________________________

Telephone: _____________________________________

Mobile: _________________________________________

Email: ________________________________________________________

Website: ______________________________________________________

Use this space to tell us more about what you do

Tell us more:

Return To: Mary Anne McGinn, 13 Judds Close, Witney, Oxon, OX28 2JY

Or email to: mary_anne_mcg@hotmail.com Tel: 01993 201327