Mr.  Ms.


Present address:

as participant in the Stockhausen Courses Kürten 2017.


Dates (arrival – departure):

July 28th 2017–

Mobility in Kürten:

 Yes  maybe

I would be willing to participate with my car in

Preferred lodging:

private *

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vacation apartment *

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hotel single room

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hotel double room *

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 * I agree to share a room with another participant.

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I have transferred 350 € to the Stockhausen-Stiftung für Musik
(IBAN: DE41 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 350 € by PayPal.

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