Delegate Registration Form
Please register here for the
114th General Assembly of Delegates
to be held in conjunction with the
58th Coupe Mondiale in
Castelo Branco, Portugal
2005 Coupe Mondiale General Information2005 Coupe Mondiale Categories
General Information and Conditions Coupe Mondiale  
Coupe Mondiale Organizers   Junior Coupe Mondiale  
Welcome to Castelo Branco - Map & Info   International Competition for Piano Accordion  
Free Download of 2005 Test Piece Virtuoso Entertainment Competition  
Accommodation in Castelo Branco   Junior Virtuoso Entertainment Competition 
Bulletin Board for Contestants and Visitors
Schedule of Events        Review of 2004 Coupe Mondiale
Coupe Mondiale em Castelo Branco    2005 CIA Registration Forms
Press Information           International Jury Registration Form
Coupe Mondiale Index Page Delegate and Guest Registration Form
CIA Website 70th Anniversary Banquet Registration Form
 
Please complete the following steps using either your 'mouse' or 'tab' key to move between sections:
  • (1) Name and Contact Information
  • (2) CIA Member Organization (Voting or Corresponding) or if you are a guest, your country of residence.
  • (3) CIA Delegates and International Jury Members will be booked at the Hotel Tryp Colina do Castelo (Mélia) unless you request otherwise.
  • (4) Arrival Date and Departure Date
  • (5) Submit your registration

Registration Deadline: September 10, 2005

Step 1 - Personal Information Please complete the following information
Family Name
First Name
Contact Information
Address Street/Number
City
State, Postal/Zip Code
Country
Telephone Country: City: Number:
Fax: Country: City: Number:
E-mail
Please registration via:
Step 2 - Your Organization Please select one of the following:
CIA Voting Member
If from CIA Voting Member, please select
Position in Voting Organization
Officer, Delegate, Member etc...
or CIA Corresponding Member
If from CIA Corresponding Member
Position in Corresponding Organization
Officer, Delegate, Member etc...
or CIA Guest/Visitor
If you are from an organization or country that is not a CIA member, please specify your country and title.
Step 3 - Hotel Selection (see description Below)
CIA Delegates and International Jury Members will be booked at the Hotel Tryp Colina do Castelo (Mélia) unless you request otherwise.
Step 4 - Arrival Date/Departure Date
Arrival Date:
Arrive to:
It is anticipated that I will:
NB. Train and Bus Schedules for October will be published at the end of September on the CIA Bulletin Board
Departure Date:
Questions or additional information:
Step 5 - Submit Your Registration Form
Please submit your information by clicking the "SUBMIT DELEGATE INFO" button below.

    

We look forward to welcoming you to Castelo Branco, Portugal for the 58th Coupe Mondiale and 114th General Assembly of Delegates!


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