The XII International Music Course Application Form
Last Name	___________________________________________________________________
First Name	___________________________________________________________________
Date of Birth	___________________________________________________________________
Name of Prof.	___________________________________________________________________
Instrument	___________________________________________________________________
Permanent Address	___________________________________________________________________ ___________________________________________________________________
Tel:	___________________________________________________________________
Fax:	___________________________________________________________________
Email:	___________________________________________________________________

This form can be printed and faxed to our offices.

The Students are responsible for their medical and instruments insurance, accident, risk and personal belonging.

Fees information:

1.The Participants have to pay : 800 Euro for Music Course + hotel B/B, (6.07 - 14.07, 8 nights)
Scholarships are available! Scholarships conditions: Professor reccomendation, decision of The Canetti Foundation

2. To be registered to The Music Course, Participants have to transfer down payment of : 350 Euro until 7.06.2007
This amount is non refundable!

Transfer to:
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 Music Course

3. The Participant will pay the balance due in Course.