The North American International Banjo Convention
PARTICIPANT AND MUSICIAN REGISTRATION FORM
APRIL 26, 27, & 28, 2012
NAME__________________________________________PHONE_________________
ADDRESS ______________________________________________________________
CITY___________________________________STATE (PROV.)__________________
COUNTRY___________ZIP (MAIL CODE)____________E-MAIL________________
PARTICIPANT REGISTRATION: Registration fees are $12.00 per person. Children under 17 free when accompanied by a paying adult. Please list the names of all people you are registering and indicate as (P) player, (N) non-player or (C) child.
Make checks payable to NAIBC.
Send to:
4337 Gaylord Dr.
Troy, MI 48098
NAME ADDRESS & PHONE (if different from above) P/N/C
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Total Registration Fee $___________
_____ I am available to conduct a workshop on (subject)__________________________
If you would like to conduct a work shop please contact Al Allotta: (734) 502-0503
Email: Al.Allotta@naibc.org
_____ I will require display space at the convention ( ) 3 x 8 tables. If you would like table space please contact John Ruskinoff Sr. (419) 691-5042
Email: John.Ruskinoff@naibc.org
MUSICIAN REGISTRATION REGISTERED PARTICIPANTS WHO WOULD LIKE TO PERFORM IN AN N.A.I.B.C. CONCERT, PLEASE CIRCLE THE SPECIFIC CATEGORY AND FILL IN BELOW. PLEASE RETURN THIS FORM NO LATER THAN APRIL 8TH 2012.
M/C SOLOIST DUET TRIO GROUP BAND OTHER
PROGRAMS ARE SCHEDULED AS FOLLOWS:
Friday, April 27th (6:30 to 10:00 pm)
Saturday, April 28th (2:00 to 4:30 pm)
Saturday, April 28th (6:30 to 10:00 pm)