North American Ceol Beag Competition Entry Form

First Name

Last Name

Name of the Person Paying as it appears on the Credit Card, PayPal, or Check

E-mail Address

Would you like to be kept up to date on MHAF events and information via e-mail? Yes No

Street Address 1

Street Address 2

City

Country

Other Country/District

State

Province

Zip/Postal

Phone (Day)

Phone (Evening)

Phone (Int'l)

PipeBand Name

PipeBand Assn

Enter Your Grade

Names of tunes: (All tune fields must be entered.)

March

Strathspey

Reel

Purchase Winter Storm 2012: The Pipes and Drums Concert tickets

0 1 2 3 4 5 6 $35/Each

Are you coming to the FREE Winter "Steam" after-concert party?
Yes

Purchase 2012 Winter Steam Collectable Pint Glass:

0 1 2 3 4 5 6 $20/Each

If you wish to pay online via Credit/Debit Card or PayPal Account, click "Pay On-Line." Otherwise, if you prefer to print your registration and mail it along with a check, click "Printable Form - PRINT and MAIL WITH CHECK." Please be patient and only click once!