Presentation
Informations
Fees
teaching Faculty
Application

    11th International Piano Week Application form

    Inscription avant le 1 mai 2008
  • au moyen du présent formulaire
  • en imprimant ce formulaire et l'envoyant à :
    MUSICA AETERNA Lotsesteenweg, 186-B-1653 DWORP

  • Application must be sent before May 1st, 2008 either
  • using the form below
  • or printing it and mailing to
    MUSICA AETERNA Lotsesteenweg, 186-B-1653 DWORP

  • NOM / Last name
    Prénom / First name
    Sexe / Gender: M F
    Address(e)
    Code postal / City code
    Ville / city
    Pays / country
    Tel
    Fax
    e-mail
    Né(e) le/ Date of birth
    Nationalité / Nationality
    Formation musicale/ Musical education
    et professeur / and teacher
    Participant: active observer
    Programme concerts
    (max. 8 min)
    Logement/ Lodging wanted yes no
    type de chambre / Room wanted single double / two triple / three
    (75 Euros refundable deposit required)