VII Valletta International Piano Competition 2021

VII Valletta International Piano Competition 2021

APPLICATION FORM

Please fill up this form an electronically / in block letters

1.	PIANIST NAME & SURNAME
2.	YOUR COUNTRY
3.	DATE OF BIRTH:
4.	AGE: full years on the 23^th June 2021
5.	AGE CATEGORY: Young 7- 9 years, 10-12 years Teens 13-14 years, 15-17 years Senior 18- 28 years
6.	COMPOSER & NAME of the Pieces
	LINK on VIDEO of the PIECES
	LINK on VIDEO of the PIECES
7.	YOUR CONTACT Mobile
8.	YOUR CONTACT E-mail
	Name & Surname of your Piano Teacher
10.	Teacher’s Contact mobile number: Teacher’s Contact E-mail:
11.	I give my permission to use any Videos / Photos and recordings of my performances ( or my son/daughter) for any website, video channels for the Valletta International PIANO Festival promotional issues.	Please write below your full name as a signature:
12.	Bank Payment details: ( Indicate Name/Surname of the Pianist & Country in the Transfer ) Bank chages to be paid by Participant: FREE for RECEIVER	BOV Bank of Valletta Account name: European Centre Culture Arts Account Number: 4002 1378 881 IBAN: MT50 VALL 2201 3000 0000 4002 1378 881 BIC / Swift Code: VALLMTMT Sort code: 22013 ( Bank full address see in the Rules )
	Payment to VISA Card:	Please ContactEvelina Batey Mob. +356 99802226
	Payment by Revolut:	Evelina Batey, @evelinj3ed Mob. +356 99802226
	Payment by TransferWise:	Please ContactEvelina Batey Mob. +356 99802226
	Email for applications	vallettapiano@gmail. com