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Masterclass Special at Radio 1's Big Weekend in Preston

 Saturday 19th May 2007

Please complete this form, and press send to transmit it to the Radio Academy offices. This process uses a Secure Socket Layer server, which is guaranteed by our providers to be secure with your credit card details. Your card will be debited and you will be sent an acknowledgement of your application within 24 hours. We hope to confirm your place on the masterclass within 2 working days. If your application is not successful your card will be refunded in full.
Name:
Radio station/course:
Position:
Address:
Postcode:
Tel:
Email:
DOB:
Sponsor name:
Sponsor radio station/course:

Sponsor position:
Sponsor tel:
Sponsor email:
Dietary requirements:
Access requirements:


Please note that the Masterclass Special includes a tour of the Radio 1 Big Weekend site and access to the event throughout the weekend. Whilst every effort will be made to accommodate delegates with specific access requirements please note that the Radio Academy cannot provide specialist transport between the Masterclass venue and the Big Weekend site, nor can it take responsibility for access and ease of movement around the Big Weekend site. If you would like to discuss this with a member of the production staff please call the Radio Academy on 0207 255 2010.

If you would like to join the Radio Academy mailing list, please select:

If you would like to join The Association of Student Radio Alumni (ASRA) mailing list, please select:

Please tell us in no more than 100 words about your experience in radio:
Ticket Type:

Delegate application £25 (£21.28 + £3.72VAT = £25)
Terms and Conditions:

I confirm I have read and understood the details on the Masterclass web page.

Method of Payment:
We can not accept American Express
Credit Card Number: - - -
Start Date: /
Expiry Date: /
Issue Number (Debit Cards Only)
By pressing the send button you are agreeing to register for this event, and for your credit/debit card to be debited for the appropriate amount (unless you have stated otherwise).

In the week leading up to the Masterclass you will receive an email detailing the full programme, with directions to the venue and other relevant information. For regular updates on how the event, please check The Radio Academy website or sign up to the Radio Academy newsletter

If you wish to post this form, please print it out and send it to The Radio Academy, 5 Market Place, London W1W 8AE. Or you may fax it to 020 7255 2029. Email queries to abi@radioacademy.org