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Contact Form

Complete this form to join the choir (either in Edinburgh or Cape Town), or to indicate your willingness to help in some other way.

Name*

Email*

Location*

Request*

   Join the choir [Currently recruiting: Ages 18-35]
  Please send me information on programme advertising
  I would like to support Origin Scotland or Origin South Africa financially
  I'd like to help - please contact me

Telephone

Address

Comments

Additional information required for Choir signup only Must be able to attend rehearsals in: Edinburgh, Scotland OR Cape Town, South Africa.
Sex	Male Female
Vocal Range	Soprano Alto Tenor Bass dont know
Age
Church membership or affiliation: Yes No
Church Name
I have sung in this choir before: Yes No
Students who's home is outside Edinburgh or Cape Town, please supply non-term contact details below (include address / phone / mobile (if applicable):

I agree to Origin Scotland & Origin South Africa storing my details electronically
(Origin Scotland & Origin South Africa will not pass on
your information outside of ourselves and ministry partners).