Coupe Mondiale On-line Entry Form

2005 On-line Entry Form
Junior Coupe Mondiale

2005 Coupe Mondiale General Information	2005 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	International Competition for Chamber Music
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) Contestant Information
(2) Program Information
(3) Contestant Picture
(4) Acceptance of Rules and Regulations
(5) Select Payment Option
(6) If paying by Credit Card, please Confirm Credit Card Name
(7) Submit Entry which will take you to Payment Page

Entry Deadline: August 25, 2005

Step 1 - Contestant Information Please complete the following information including a small biography about yourself. This might include background, teachers, previous competition experience etc...
Contestant Family (last) Name:
Contestant First Name:
Please select:	Male: Female:
Nationality as on Passport:
Country of Residence:
Association/Country Represented:
If not listed, please specify country:
Date of Birth:	Day: Month: Year:
Address Street/Number:
City:
State, Postal/Zip Code:
Country:
Telephone:	Country: City: Number:
Fax:	Country: City: Number:
E-mail:
Please submit a two or three paragraph biography about yourself:
Please confirm entry via:

Step 2 - Program Information
Please complete the following program information. Please include full titles, movement numbers and full composer name as applicable.

1st Round: Two (2) pieces must be played which must include one original work for accordion and one baroque work written for harpsichord/clavichord. Playing time: minimum 10 minutes to maximum 15 minutes playing time.

	Full Title of Composition please include full title of composition, any catalog numbers, number of movements etc...	Composer full name of composer (and arranger if applicable)	Playing Time eg. 5.25
1.
2.

2nd Round: OWN CHOICE PROGRAMME: Two (2) pieces must be played which must include one original work for accordion. Individual movements from cyclic works are acceptable. Playing time: minimum 10 minutes to maximum 15 minutes playing time.

	Full Title of Composition please include full title of composition, any catalog numbers, number of movements etc...	Composer full name of composer	Playing Time eg. 5.25
1.
2.

Step 3 - Your Picture

I am e-mailing a high resolution picture .jpg or similar to the CIA. Please make sure you indicate your name and category entered. Please e-mail picture to: coupe@coupemondiale.org

I am sending my photograph (black and white or color) with name printed on the back of it and the category entered by regular mail to:

CIA General Secretary - Walter Maurer
Dietrichgasse 51/19 - A - 1030
Vienna, AUSTRIA

Questions or additional information:

Step 4 - Acceptance of Rules and Regulations

I understand the rules for this particular CIA category, and by submitting this on-line entry, I agree to abide by the Rules and Regulations as found in the:

on this website. Entry Deadline is August 25, 2005.

Please check box to agree:

Step 5 - Select Payment Method

I will pay my entry fee by Credit Card (Euro € 45.00)

I will wire money or pay by International Bank Check (Euro € 50.00)

Step 6 - Credit Card Name

If you intend to pay your entry fee using a credit card, please write the name exactly as it is written on the credit card:

Step 7 - Submit Entry Form

Please submit your information by clicking the "SUBMIT ENTRY" button below. You will be taken to a new page where you can make your payment.

We look forward to welcoming you to Castelo Branco, Portugal for the 58th Coupe Mondiale!

Home Page	Order Test Piece	Accommodation	Schedule of Events
General Guidelines	Competition Categories	Welcome to Castelo Branco	CIA Website