ENROLMENT FORMULAR

PERSONAL INFORMATION:
 
surname:
first name:
sex: male           female
date of birth (dd.mm.yyyy):
nationality (international abreviation):
 
street:
postcode:
city:
state (international abreviation):
 
telephone:
mobile phone:
e-mail:
 
MUSICAL STUDIES:
 
INSTRUMENT:
violin viola violoncello piano
other instrument:
 
prefered instructor:
second instructor: if the first one is booked out (not for cellists)
 
Which works did you prepare for the solo course?
 
REGISTRATION FOR CHAMBER MUSIC: yes         no if no, please go to accommodation
Causes no further course fee!
names of the group members:
complete list of works and there instrumentation:
 
ACCOMMODATION single room
  double room
  triple room
  quad room
for double to quad rooms:
Whom do you want to share a room with?
 
other help
Please check your personal datas because we can't consider incomplete or nonsensical forms.
 
I read the regulations of participation and I agree with them!
 
Please transfer your registration fee by 6th of July 2018 the latest to the following bank account:
Internationale Musiktage Bad Leonfelden
Raiffeisenbank Region Bad Leonfelden
account number: 55152
bank code number: 34277
IBAN (international bank account number): AT48 3427 7000 0005 5152
BIC No: RZOOAT2L277