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Amalfi Coast Music & Arts Festival
Instrumental Programs Registration Form

(Piano, Winds & Strings & Chamber Music Workshop)

Deadline: April 1, 2010
Deadline extended until April 15!


PERSONAL INFORMATION:

    
First Name

Birth Date

Last Name Phone

Present Address

Fax

E-mail
Valid until

 

Permanent Address
(If different)

 


BACKGROUND INFORMATION :

    
Position or School
 Major Teacher


IF STUDENT:

    
Name of Parent
 Home Phone

E-mail

 Work Phone
PROGRAM SELECTIONS:
 Piano          
           Chamber Music (Instrument)
 Winds: Flute      Winds: Clarinet                 
 
I wish to study with (name of faculty member):
 
TUITION & ACCOMMODATIONS:
(Full tuition - includes private lessons, coachings, master classes & workshops.)

  Hotel: $2,650. (assumes triple occupancy, includes breakfast)
        Hotel Supplements: I prefer a
                triple room: as above
                double room: add $399
                single room: add $860
  Hostel/Dorm: $2,075
            
 
     Please note any roommate requests:
    
 
  Meal Plan
       Dinners: full 3-course meal with wine & mineral water: $480
 
Please note any allergies or health concerns that might affect room and board options:
EXCURSIONS:
Please sign me up for individual excursions:
  Ravello: $95
  Pompeii: $95
  Capri: $135
Excursion Package (Ravello, Pompeii, Capri): $315
 
ADDITIONAL ACTIVITIES:
  Italian Language Mini-course: $350
  Ceramics Course (1/2 day): $ 60
   Cooking Classes: $ 375 (series of 3 lessons)
   Cooking Class: $135 (individual lesson)

 
PAYMENT:  
 Registration fee:  $35    
  Deposit:  $350 
  Note: You must enclose both for your application to be considered.
  Service fee (if registering online):

 $11.50  (for U.S. payments)

   

Service fee (if registering online)

 $15.75  (for international payments)
  Total enclosed: $
TRAVEL ARRANGEMENTS:
  I am interested in an airport pick-up
Flight Info. (if known):

To register online using PayPal's secure system
please fill in the form completely
and click on the "submit" button.

Or to pay by check,
please copy this form, print & then mail
completed form with your check payable to:
Center of Musical Studies
724 Chesapeake Ave.
Silver Spring, MD 20910

THE CENTER OF MUSICAL STUDIES is a not-for-profit cultural organization which does not discriminate on the basis of race, color, ethnic or national group, gender, or disability.