Application Form

Asociación Amigos de la Música de Cámara de Vitoria-Gasteiz

info@vitoriamusic.com// +34656770446

Reference:	Student Name or Group + Instrument
Bank:	BANCO SANTANDER
Account number:	BIC-SWIFT ESPCESMMXXX IBAN ES70 0030 3400 7100 0046 5271
	On receipt of the necessary information and deposit a course acceptance confirmation will be sent. In case of cancellation the deposit will not be refunded.

Name (required)

Surname (required)

Birth date (required)

Address (required)

Postcode (required)

Country (required)

Mobile Number (required)

Email (required)

Nationality (required)

Musical level/grade (required)

How did you find about this course-Number of days you inscribe for

Instruments (For more than one instrument press the "Ctrl" key in each of them)

Inscription Type:

Teacher

Repertorie I would like to work on

Chamber Music

Chamber.-

Documentation needed ONLY PDF MAX 1 MB:

Passport Photograph

C.V.

Receipt of Payment

I accept the conditions

In order to answer any questions and queries, all personal details provided in the attached form will be kept confidentially in the "International Music Festival Vitoria-Gasteiz" database. If you do not wish for these details to be stored, please send an email to this effect to info@vitoriamusic.com.