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Viana Music Festival Application

Name

Address

City

State Zip

Country

Birth date Age Male Female

Telephone

Fax

Email

Instrument

Years Studied

Accomplishments

Teacher's Name and School

Telephone

Today's Date

Initial of student (18 and older)

Initial of parent or guardian (if student is under 18)

Application Fee of US$80, pay with PayPal

Please enclose or attach to e-mail your photograph and write your name on the back. Type or print all information clearly. Applications must be received by the International Music Festival office no later than May 15, 2010 Notification of acceptance is June 1, 2010

Or Mail this completed form with an application fee of US$80, payable to The Portugal & USA Viana Do Castelo International Music Festival, U.S.A. Central Office
P.O. Box 9401, Rancho Santa Fe, CA 92067, USA Tel/Fax: (858) 259-5508
e-mail: Office@VianaMusicFest.org