Application form 15th International Music Competition Virtuositè Prize

I require the piano accompanist

YES

Instrument

Surname

Name

Nationality

Place of Birth

Date of Birth

Address Street

Number

Zip Code

Town

Country

Mobil phone number

Phone

Composer

Piece

Minutes

Composer

Piece

Minutes

Composer

Piece

Minutes

Teacher (not obligatory)

Entry Fee Euro 90 - notes

Eventually surtax for pianist accompanist. Please one only payment in association with the application fee. Please, send as soon as possible, the list of the pieces selected by mail to: padovacompetition@gmail.com

Euro 40

Payment details (payment date, payment number, name of the bank)

A personal identity certificate

Photocopy of application entry fee bank transfer receipt

Form (Demand of registration as ordinary member of AGIMUS Association). For the minors, by only one parent. Download the form at the bottom of the page

I declare that I agree and I accept unconditionally all the provisions of the Competition Rules and any changes made by the Art Director. I agree my name is inserted on AGIMUS website, if it is among the winners of the competition. I accept without objection of any kind the results of the jury.

Date

I'm not a Robot!

5 + 9 =

Download >> COMPILATION OBLIGATORY OF THE FORM ATTACHED (demand of registration as ordinary member of AGIMUS)