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Cân i Gymru 2015 competition entry form
Name:………………………………………………………………………...
Address: ……………………………………………………………………..
Telephone number (home) : …………………………………………………
Telephone number (mobile): ………………………………………………..
E-mail address: ……………………………………………………………….
Date of birth: …………………………………………………………………..
Name of song: …………………………………………………………………
Author of lyrics:……………………………………………………………......
Composer: ……………………………………………………………………..
Suggest the artist/s you would like to perform the song: ……………………
Please read the competition rules before proceeding. For a copy of the rules, go to : s4c.co.uk/canigymru
Or call 02920 838 149 to order a copy by post (24hr answerphone).
Please tick the box to confirm that you have read, understood and agree to the
terms of the competition rules.
Cassette or CD or MP3 Copy of the lyrics on paper or in word format
Send your entry form and song by 16 January 2015
By post to: Cân i Gymru 2015,Avanti Media, 36 Cardiff Road, Llandaf, Cardiff, CF5 2DR
By e-mail to: cais@ avantimedia.tv
Competition number (for office use only)
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