Stockhausen Courses 2013 : English

Please enrol me, Mr. Ms.

Name:*

Surname:*

Date of Birth:*

Country of Birth:*

Present address:

Street:*

City:*

zip code:*

State:*

Country:*

Phone:*

Fax:

Email:*

as participant in the Stockhausen Courses Kürten 2013.

Composer:

Musicologist:

Sound Projectionist:

Auditor:

Interpreter *:

*I have prepared the following work(s):

Instrument:

Date:*

Signature:*

Dates (arrival – departure):

August 2nd 2013-

August 12th 2013

other

Mobility in Kürten:

I will have a car. Yes maybe

I would be willing to participate with my car in

a car pool while in Kürten.

Preferred lodging:

private *

(0 –15 €),

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vacation apartment *

(15–30 € per person)

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hotel single room

(ca. 30–65 €)

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hotel double room *

(ca. 30–65 € per person)

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I do not need lodging.

* I agree to share a room with another participant.

I have sent a cheque in the amount of 340 € */ $ 450 *
( * including 15 € / $ 20 for handling charges).

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I have transferred 325 € to the Stockhausen-Stiftung für Musik
IBAN: DE 41 3701 0050 0121 6785 09; BIC / SWIFT:
PBNKDEFFXXX, Postbank Köln, Postfach, 51222 Köln.
Bank charges for the transfer are at my expense.

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I have paid 325 € by PayPal.

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