STRUM Acoustic & Live Music Night Register

114 Main Street, Uddingston,
Glasgow G71 7HZ
tel: 01698 812106/ fax: 01698 327978

First Name		Second Name
Contact Number - Landline		Contact Number - Mobile
Email Address
Do you want to perform at STRUM	yes no
Which venue suits you best		Remarks
Angels The Parkville Both
When would you like to perform? (state preferred dates)

For marketing purposes, please indicate how you heard of STRUM:
			= Required