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Application form weekend ensemble

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  • After sending this form You'll recieve a confirmationemail.
  • After confirmation, please pay €25,- to Stichting Gitaarweken Zwolle, Aan de Stadsmuur 88, 8011 VD Zwolle, rekeningnummer: 459012320 (ABNAMRO, Zwolle) Please be sure You're payment is done within 10 days but before the 15th of october 2010.

First Name
*
Last name
*
Adress
*
ZIP-code and residence
*
Email adress
*
Telephone
Date of birth
*
Teacher
Amount of years study
*
Experience in interplay
*
Please use my adress

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