Your Name and Surname *
Your Date of Birth (day/month/year) *
Your Complete Address: Street, City and Country *
Your Phone *
Your Email *
Passport or identity card (pdf) *
Title of the submitted composition *
Score of the submitted composition (pdf, max 2 MB) *
Recording of the submitted composition
If YES, any links to the recordings
PLEASE NOTE, It's possible to send up to 3 more start/link to the eventual registration to the e-mail address email@example.com, subject: NAME and SURNAME - Additional Compositions for the participation to the contest Call for under-40 female composers
How did you get to know about the course *
advertisingnewslettersocial networksfriend talked me aboutother
In submitting this form I agree to my details being used for the purposes of IDEA and Divertimento Ensemble Activities. The information will only be accessed by necessary Divertimento Ensemble staff. I understand my data will be held securely and will not be distributed to third parties. I have a right to change or access my information. I understand that when this information is no longer required for this purpose, official Divertimento Ensemble procedure will be followed to dispose of my data."
By filling out this form you will be addressed to Pay Pal for the payment of the enrollment fee of € 30.
In case you do not have a Pay Pall account, you may pay through bank transfer to the IBAN IT70P0335901600100000101448 in the name of Divertimento Ensemble, purpose of payment “Name, Surname, Enrollment Call for under-40 female composers” Please send copy of the bank transfer to firstname.lastname@example.org
Information: email@example.com / tel. +39 392 2880857
3 – 13 settembre 2016 / Sei concerti
Moncalvo, Casale Monferrato, Serralunga di Crea, Grazzano Badoglio, Asti
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Tutte le informazioni / All information
Via Poggi 7, 20131 Milano - Italia
Tel: +39 02 49434973
Mob: +39 338 2225014
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