APPLICATION FORM

 

The First Slav Music International Piano Competition

 

from July 1 to 7 2008.

Name : ……………………………………..  Surname: ………………………………………...

 

Date of birth: ……………………….. 

 

Address :…………………………………………………………………………………………
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City  : ………………………………………………....................................................................

 

Counry : …………………………………………………………………………………………

 

Phone : ……………………………. E-mail : …………………………………………...

 

Age category : …………………………………………………………………………………...

 

Address and phone of school :…………………………………………..............………………...

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Nom et adresse de votre conservatoire :………………………………………………………...

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Teacher's name and surname :…….…………………………………………………….................

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Hotel reservation :…….……………………………………………………...................................

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Person:.................………………………………………………………………………………...

 

All applicants will be notified by March First :

 

Association Française Stanislaw Moniuszko

72, rue Claude Decaen 75012  Paris - FRANCE

Tel/Fax. : 0033 1 40240750

Email. moniuszko_assoc@yahoo.fr

http://www.moniuszkoassociation.com