BKHP > Biuro Koncertowe Haliny Prominskiej BKHP > I International Music Workshop — Pultusk 2009

Application

  • Cost of participation: 900,- PLN per person
    (includes classes and full board accommodation).
  • Applications including a pre payment of  200,- PLN
    per person  are due by 20 June 2009.
  • Application form available below.

Bank Account # for payment:

MR Bank S.A., Bank Spółdzielczy Pułtusk: 75 8232 0005 0006 6543 2000 0001
Państwowa Szkoła Muzyczna I st.
Al. Tysiąclecia 11, Pułtusk,
reference: „Pułtusk 2009”

Application Form

Fill in (and send) a form below:
Last Name:
First (Second) Name:
Date of Birth: day: month: year:
Address: zip code: city: country:
street: no of house: no of flat:
Phone number:
Mobile phone number:
Address e-mail:
Conservatory/School etc.:
Instrument:
Proffessor on Course:
Repertoire/Program:
Vegetarian diet: Yes, No
I apply for Ist International Music Workshop Pułtusk 2009, 11th–19th July 2009.

Notice! Under age participants need signed parents or carers consent.
Comment:

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