Basingstoke Community Radio

Please fill out the following form to confirm event attendance.

Name/Organisation Name *

Please enter your name or the name of your organisation.

Telephone Number *

Email Address *

Event Name *

Event Date (DD/MM/YYYY) *

Please enter the date of your event.

Extra Information

Please Confirm Acceptance of the Following *

• I understand that by submitting this event sign up form, I am confirming my attendance of the above event, and I understand that my place is only confirmed once full payment has been made via bank transfer.

Your Name *

Please Re-Enter your full name

Today's Date (DD/MM/YYYY) *

Please Enter Today's Date

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