| The Canetti International Violin Competition Application form | |
| Last Name | ___________________________________________________________________ |
| First Name | ___________________________________________________________________ |
| Nationality | ___________________________________________________________________ |
| Date of Birth | ___________________________________________________________________ |
| Permanent Address | ___________________________________________________________________ ___________________________________________________________________ |
| Tel: | ___________________________________________________________________ |
| Fax: | ___________________________________________________________________ |
| Email: | ___________________________________________________________________ |
| The Program: | |
| Round 1 | ___________________________________________________________________ ___________________________________________________________________ |
| Round 2 | ___________________________________________________________________ ___________________________________________________________________ |
Please Print this form , send it by email/fax and mail it to the Secretariat of the Competition (Robert Canetti Foundation, Carmi 3 ,Haifa, Israel ,34556), including:
Bank: Hapoalim Le Israel Branch :18 Haneviim str,Haifa, Israel Branch # 700 IBAN:IL93-0127-0000-0000-0189-272 Account # 189272 SwifT:POALILIT Beneficiary : Robert Canetti Violin Competition | |