Austrian Cultural Forum

Nominal Support - Application Form

Date of application (dd/mm/yyyy) / ___/___/______
(*) Name of organisation
Type of organisation / Please check one or more boxes.
Central government
Public sector company
Private sector company
School, University / NGO
Foundation
Society
Other ( )
Contact details of
person in charge / (*) Name:
Address :
(*) Tel / (*) Fax
(*) E-Mail
(*) Website / URL :
(*) Title of event / English:
(e.g. piano concert within the framework of an Austrian-Japanese exchange programme)
Japanese:
(*) Duration of event (dd/mm/yyyy) / From : / To :
(*) Venue of event / City:
Address(es): / (1)
(2)
(*) Website
Relevance to Austria / (e.g. name of the Austrian artist, topic related to Austria, Austrian compositions etc.)
(*) Aim of event
(*) Brief outline of event
(*) Additional partners to the event
Type of event / Please check one or more boxes.
Academic and Research
Visual Arts
Crafts
Dance
Economy
Education
Film, Television
Lifestyle / Music
Performing arts
Regional exchange
Sales promotion
Sports
Tourism
Youth exchange
Other ( )
Format of event / Please check one or more boxes.
Festival
Concert or performance
Exhibition
Conference
Seminar or Lecture
Workshop / Exchange program
Volunteer activity
TV show
Film or video screening
Book
Other ( )
How is the event funded? / Please check one or more boxes.
Public funding
Sponsorship
Donation
Entrance fee / Membership fee
Your organisation’s own contribution
Other ( )
Estimated budget (€/¥)
Declaration of consent
(select if applicable) / I agree that the data marked with (*) may be made available to the public.
I do not agree that the data marked with (*) may be made available to the public.
I agree with the processing and storage of the following data provided in this registration form:
Telephone number
Fax
E-Mail
Confirmation / I confirm that the above information is complete, accurate and true.
I hereby accept the terms and conditionsenlisted in the information sheet regarding nominal support.