Great Lakes Harmony Brigade


"; $message .= "\n". "\n". "\n". "\n". "\n". "\n". "\n". "\n". "\n". "\n". "\n". "\n". "\n"; $message .= "
APPLICANT:
NAME: ".$appname."
PHONE: ".$appphone."
EMAIL: ".$appemail."
ADDRESS: ".$appaddress."
CITY: ".$appcity."
STATE: ".$appstate."
ZIP: ".$appzip."
VOICE PART: ".$part."
CHAPTER: ".$chapter."
AMOUNT REQUESTED: ".$amount."
FINANCIAL ISSUES: ".$financial."
COMMENTS: ".$comments."
\n\n\n"; $headers = 'From: glhb-registrations@harmonybrigade.org' . "\r\n". 'Content-type: text/html; charset=iso-8859-1' ."\r\n"; $mailsend = mail($toemail, $subject, $message, $headers); // imap_mail("$toemail", "$subject", "$message", // "From: $fromname <$fromemail>\n"); print "



Thank you.
The Application has been sent.
Close Window and go back to main page.



"; include("footer.php"); exit; // } else { Print "

All Fields not Filled out.
Please Try Again.

"; } } ?>

Charles Rose Scholarship Fund
Application Form

Instructions:


After reading the guidelines, this form should be completed by participants needing assistance. Submit the completed form BEFORE April 30th.


--- Applicant Information ---
Name:

Street Address:
City: State: Zip Code:

Email: Phone #:

Voice Part: Tenor Lead Baritone Bass Chapter: Amount Requested

Briefly explain the financial issues that support granting a scholarship to this applicant:


Other comments that may be helpful to the Board in considering this request?