Inscriptions Cordes&Pianos

WOODWINDS AND BRASS SUMMER COURSE july 16^t^h- 28^th, 2007

REGISTRATION FORM

to be returned with the required enclosures before June 30^th, 2007

Mail to :

Académie Internationale de Musique de Biarritz

35 bis, allée du Moura - 64200 BIARRITZ (FRANCE)

Phone./Fax : (0033)5.59.43.96.41

http://www.academie-biarritz.com

e-mail : acmusic.biarritz@tiscali.fr

Last name :		First name :
Date and place of birth :		Female : Male :
Nationality:
Address :

Zip code :		City :
Phone. : Cell phone : Fax : Courriel :
Address during the course, for students who are not accommodated at the lycée :

For flutists, instructor you wish to work with :

Choise of accommodation :

bedrooms (

with 3 beds (

(

FULL BOARD (includes night/breakfast/lunch and dinner)...................................................353.€

HALF BOARD (includes night /breakfast/ lunch).................................................................281.€

DAY STUDENT ( includes lunch only).................................................................................93.€

"--------------------------------------------------------------------------------------------------------- PRICING & PAYMENT OPTIONS
TUITION FEE & CLASSES ........................................................................................................................€ ACCOMMODATION indicate option........................and corresponding amount.............................€ (1) SUMMER COURSE TOTAL AMOUNT.......................................€
I choose to play the total amount when registering :............................................................................................................................ ..€ (enclosed check order to the "Académie Internationale de Musique de Biarritz) I choose to pay 50% when registering-total amount divised by 2 : (1) : ......................................... € (enclosed check order to the "Académie Internationale de Musique de Biarritz) and 50% on arrival at the summer Course - total amount divised by 2 : (2) ........................................... €

Date.............................................................................................Signature of participant or parental authority :

Please print this page end send with your payment to :

Académie Internationale de Musique de Biarritz

35 bis, allée du Moura - 64200 BIARRITZ (FRANCE)