Your Name:

Organisation (if relevant): 

Your E-Mail Address:

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Select type of event:  WeddingFuneralPartyFete or FairStreet MarchCorporate EventOther (please specify below)

Times: Performer(s) required from    to  

Other requirements:

Please ring 07 3257 4527 or email secretary@pipebandsqld.org to follow up on this form. You may also want to contact one of the Bands on our Member Bands page directly.