San Fedele Musica

PRIZE PHONOLOGI A 2012-2013

nome First Name

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cognome Family Name

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indirizzo

Address

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cap - citt - provincia

Postal Code / State .....................................................................

telefono Telephone No.

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cellulare

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e-mail

Cell phone

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data di nascita Date of birth .............................................................................................

NB: Inscriptions are open only to artists born after January 1, 1977
The material to be remitted by email before September 15, 2012
NB:

Liscrizione al Premio riservata ai soli artisti nati dopo l1 gennaio 1977

La consegna dei materiali richiesti dal bando fissata via email entro il 15.09.2012

Data e firma Date and entrants signature

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www.sanfedele.net
Fondazione Culturale San Fedele - Piazza San Fedele 4, 20121 Milano tel 02 86352202; fax 02 86352236
e-mail: sanfedelemusica@gmail.com