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Please, use preferably this Entry Form Scheme.

Send the application form by way of registered post by and not later than 5th June, 2017

to the following address:

“Masi Foundation” Recording Award for Venetian Culture

Associazione Culturale “G. Zinetti”

c/o Studio Cailotto • via F.lli Bronzetti, 14 • 37126 Verona

APPLICATION FORM

Ensemble:

Name:______

City-State: ______

Eventual ensemble’s website: ______

Does instrumentation include piano?:  Yes  No

• Contact Person - Name:______

Address: ______

City: ______State ______Zip ______

Phone: (______) - ______-______

E-mail: ______

Please provide requested information below.

• How did you learn of the “Zinetti” Competition? (circle all that apply)

Received Brochure / Magazine / Ad / Radio-TV / Internet / Poster / Teacher / Coach / Friends /

Other: (please specify) ______

(The following statement must be signed by an ensemble member or coach.)

"I certify that this ensemble meets all eligibility and entry requirements. I affirm that each ensemble member is aware of, and will abide by all competition rules. Each member is informed of, and accepts all responsibilities implied and stated with this entry into the competition."

Signature:______Date______

Please find herewith enclosed:

1. the curriculum vitae of the ensemble (specifying the instruments and their players);

2. description of the recording project (a program lasting at least 60 minutes and an explanatory report);

3. a tape-recording or cd pointing out the quality of the group and its experience in the proposed repertoire;

4. the receipt of the payment of 20 Euros made out following one of these procedures:

• Postal Order addressed to Associazione culturale “Gaetano Zinetti” - c/o Studio Cailotto - via F.lli Bronzetti 14 - 37126 Verona (Italy);

• Bank Order made out to “Gaetano Zinetti” Cultural Association’s current account at Banca Popolare di Verona - IBAN code: IT54P0503459780000000011543 - BIC-SWIFT code: BAPPIT21080;

• Credit card using the PayPal circuit (see info at the website www.premiodiscografico-masi.eu).