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
Account # 189272
Beneficiary : Robert Canetti Music Course

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