::: The Music Club :::

Please register your details:

First Name:

Last Name:

Date of Birth:

Email Address:

About you:

I am a...

	Musician		Local band/artist
	Tutor		Promoter
	Record label		Coffee fan
	Foodie		Education body
	Parent		Business
	School pupil		Charity
	Student		Music fan
	OAP		Other

My favourite music is:

	Acoustic		Pop
	Rock		Folk & Roots
	Celtic		Jazz
	Funk		Soul
	Reggae		Classical
	World		Other

Do you play an instrument?

	Accordion		Strings other
	Bass Guitar		Voice
	Brass		Drums / Percussion
	Fiddle / Violin		Pipes / Whistles
	Cello		Woodwind
	Guitar		Other
	Piano / Keyboards		I do not play

Our Services:

Please tell us what you are interested in:

	Cafe / Bar		Live music Events
	After School Club		Music Services
	Corporate Hospitality		Online Social Network
	All the above

Contact permission:

Please check this box if you agree to your details being held on a database by The Music Club UK Limited, a private company limited by guarantee and registered in Scotland, number SC295202. Your privacy and protection of personal identification is very important to us as is the information you provide. We will use your information to provide news, products and services you request and to inform you of other news, products and services in the future offered by The Music Club UK Limited. We will not disclose your information to anyone outside The Music Club UK Limited, unless we have your permission or we are legally obliged to do so. Thank you, The Music Club UK Limited.

I agree to the conditions above.