| Name: |
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| Date of birth : |
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| Sex:
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female male |
| Address:
(complete address)
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| Telephone:
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| Telefax:
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| E-mail:
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| Instrument:
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| Where do you study? |
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| With whom do you study? |
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| Are you known to your professor at Bad
Leonfelden? If so, where from? |
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Works you would like to present at the master
class:
(please inform us of any changes; indicate, if you
are going to play single movements only) |
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| I
want to attend the: |
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first session (9.8. - 17.8.2008) |
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second session (17.8. - 25.08.2008) |
| I
would like to book : |
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board and lodging (€ 30,50 per day.) |
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lodging and one meal (€ 25.- per day.) |
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bed and breakfast (€ 19,50 per day.) |
| a single room
(surcharge € 3,50- limited numbers) |
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I will pay the application fee (€ 40.-) directly into
Konto Nr.50304017329 "Freunde der ISBL"
bei der BA - CA, Blz.12.000
IBAN: AT70 1200 050304017329
BIC: BKAUATWW
First part of the fee (€ 190.-, string quartet € 400.-) has to be paid by 27 June, 2008. It may be payed with the application fee in order to avoid additional bank charges. The applicant is expected to pay all transaction fees. |
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