<p> CARNIVAL PLANNING & MANAGEMENT AGENCY An Agency Of The Cultural Development Foundation</p><p>REGISTRATION FORM FOR J’OUVERT BANDS</p><p>NAME OF GROUP: ______</p><p>ORIGIN OF GROUP: ______</p><p>PORTRAYAL: ______</p><p>GROUP TOTAL (total number of persons in group): ______</p><p>POSTAL ADDRESS OF GROUP: ______</p><p>______</p><p>CONTACT DETAILS GROUP LEADER:</p><p>NAME: ______</p><p>TELPHONE NOS: ______</p><p>E-MAIL ADDRESS: ______</p><p>CONTACT DETAILS FOR ALTERNATE:</p><p>NAME: ______</p><p>TELPHONE NOS: ______</p><p>E-MAIL ADDRESS: ______</p><p>Barnard Hill Saint Lucia T: 758 453-7481 E: [email protected] P.O.Box CP 5405 F: 758 459-0615 W: www.cdfstlucia.org Page 1 of 2 CARNIVAL PLANNING & MANAGEMENT AGENCY An Agency Of The Cultural Development Foundation</p><p>REGISTRATION DATE: ______</p><p>NAME (person registering Group): ______</p><p>SIGNATURE: ______</p><p>FOR OFFICIAL USE</p><p>REGISTRATION FORM RECEIVED BY: ______</p><p>REGISTRATION FEE: ______</p><p>PAID BY: CASH CHEQUE: ______(Bank) (Chq #)</p><p>RECEIPT NO.: ______</p><p>SIGNATURE: ______(for and on behalf of CPMA)</p><p>DATE: ______</p><p>Barnard Hill Saint Lucia T: 758 453-7481 E: [email protected] P.O.Box CP 5405 F: 758 459-0615 W: www.cdfstlucia.org Page 2 of 2</p>