2013 Blue Ridge Old-Time Music Week Online Registration

Thank you for registering! Please make sure you complete the transaction by selecting the "Register Now" option at the end of the next form!

Name 1

  GenderF M
SmokerN Y
Mailing Address

 
City

 State

 Zip Code
Email

 Daytime Phone

Which class are you registering for?

Name 2
     
  GenderF M
SmokerN Y
Mailing Address 2
City 2

 State 2

 Zip Code 2
Email 2

 Daytime Phone 2
Which class are you registering for?
 
 
Quantity Cost per Total
Double Occupancy per person $539 $
Single Occupancy per person $649 $
Extra fee for air-conditioned room
(subject to availability)		 per person $85 $
Commuter (includes lunch M-F) per person $394 $
Non-participant attendee per person $384 $
Mini-class/es per person,
per class		 $85
 $
Blue Ridge Old Time Music Week T-shirt S-XL $15
$
  XXL $17
$
Please tell us what size shirt you want for EACH shirt ordered!

Payment

Credit Card Information

Credit Card Type

 Credit Card Number (no dashes ( - ) )

3 Digit Card Security

Expiration / 
Name as it appears on card

How did you hear about the Blue Ridge Oldtime Music Week?
I have previously attended the Blue Ridge Oldtime Music Week
I have physical needs that require handicap accommodations.
I do not require handicap accommodations.

If you DO have physical needs that require handicapped accommodations, please describe them below. Also, if you are requesting to room with a specific person, please indicate that request in this box.
   
   


All sales are final. Refunds minus $100 non-refundable deposit are available until four weeks before program begins.