VII INTERNATIONAL CLARINET COURSE

Prades (Tarragona), 30 July - 6 August 2006

Application form

Name:_____________________________________________________________________

Forename:__________________________________________________________________

Passport:_________________________Birth date:_________________________________

Address:____________________________________________________________________

City:_______________________________________________________________________

Postal code:_________________________Country:________________________________

Phone:_________________________________E-mail:______________________________

Advanced Course:        <  >
Intermediate Course:   <  >
Beginners Course:        <  >

Music School where you are taking your lessons:

____________________________________________________________________________
Last finished course:

____________________________________________________________________________
Comments

This application form must be printed and sent by regular mail to:
   Quartet "a4"
   Camí can Torres, 9
   08242 Manresa
   Spain Remember also to attach these documents:

•    Bank payment receipt for the amount of 120 euros
•    Photocopy of the passport
•    Two photographs