2014 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

Country
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

Country 2
Which class are you registering for?


 
 
Quantity Cost per Total
Double Occupancy per person $549 $
Single Occupancy per person $649 $
Extra fee for air-conditioned room
(subject to availability)
per person $85 $
Commuter (includes lunch M-F) per person $399 $
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.