Provisional Booking Form

Contact Name:

Contact Telephone Number:

Email:

Event/Occasion:
Please select Wedding Funeral Burns Night Birthday Retirement Anniversary Corporate Event Hogmanay Other Event

Date of Booking:

Pick date from calendar below

Venue (ie. Church, Registry Office):

Post Code:


Time:

 

Additional information

I have a reportoire of popular music that I can play at your event However, if you have one or two requests of your own choice, please state below in the additional information field below. If you have any other request or would like to add other information please include this in the below field.

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Wedding information - Complete this section only if you are requesting my services for a wedding

Play for 20 minutes whilst guest arriving at Ceremony Venue:
Select below Yes No
Play for Bride into Ceremony:
Select below Yes No
Play during signing of Register:
Select below Yes No
Play during service as a hymn (ie. Amazing Grace etc)
Select below Yes No
Play Bride & Groom out of Ceremony:
Select below Yes No
Play for 15 minutes during photographs:
Select below Yes No
Play during receiving of guests at reception by Bride & Groom:
Select below Yes No
Play Bride & Groom to top table:
Select below Yes No

Reception details (ie. Church, Registry Office):

Post Code:

Time:

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All details entered on this form are strictly confidential and for use by bagpiper-northwest.com only. Details will not be passed onto any other third party.

Thank You for sending me your details. I will contact you shortly to confirm the details you have sent.

Phil McConnell
bagpiper-northwest.com