Entry Form The Mietta Song Recital Award
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The Mietta Song Recital Award 2004
Application Form
SINGER'S DETAILS
Name.............................................................................................................................................
Date of Birth . . . /. . . /. . . Voice Type................................................................................... ....
Address .................................................................................................................................. ..
............................................................................................................................................. ...
............................................................................................................................................. ....
Telephone - Business hrs....................... Fax............................After hrs.......................................
email...........................................................................................................................................
Present Vocal Teacher/Vocal Coach..............................................................................................
ACCOMPANIST'S DETAILS
Name.............................................................................................................................................
Date of Birth . . . /. . . /. . .
Address............................................................................................................................................
.............................................................................................................................................
.............................................................................................................................................
Telephone - Business hrs.............. Fax..........................After hrs..................................................
email............................................................................................................................................
THREE ENTRY SONGS
(Include composers)
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1750-1830.........................................................................................................................
-
1831-1920.........................................................................................................................
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1921 to the present.............................................................................................................
The Judges' decisions will be final and no correspondence will be entered into.
SINGER'S VERIFICATION
I verify that the above information is correct and agree to abide by the stated rules.
Signed ..................................................................................................... Date . . . /. . . /. . .
Countersigned by a member of the musical profession who has known the Applicant for at least 2 years:
Name (print)............................................................................................................................
Signed....................................................................................................... Date . . . /. . . /. . .
PAYMENT DETAILS
Please find enclosed my Cheque for $40 Aus, payable to the Mietta Song Recital Award or please debit my Mastercard or Visa with the sum of $40
Card Number .................................................................. Expiry Date . . . / . . .
Name on card ................................................................. Signature ................................................
Please send correspondence to:
The Committee
The Mietta Song Recital Award Auditions
PO Box 1471
St Kilda 3182
Email:
msra@miettas.com.au
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