UW-La Crosse Vocal Jazz Festival - January 23, 2010

APPLICATION FORM

Please fill out and submit the form below. Once submitted a confirmation page will appear.

School Name:

Street Address:

City:

State: Zip Code:

Directors Name:

Phone Number:

E-mail Address:

Register the following groups (place a check in the box or boxes)

Non - Comp. Vocal Jazz Ensemble Name of group

Number of Vocal Ensembles w/ Evening Big Band Concert Tickets: X $175.00 =

Number of Vocal Ensembles: X $150.00 =

Total Registraion Fees:

Mail Fees by Dec. 11, 2009 to:
Vocal Jazz Festival - Att. Dr. Gary Walth - UWL Music Dept. - 1725 State St. - La Crosse, WI 54601