ENTRY FORM

                  Deadline on May 15, 2014 (Must be postmarked by May 15, 2014)

 

Enter Your Contact Information (for Applicant)

 

Applicant’s Name:­­­­­­­___________________      Gender: Male/ Female

 

School & Grade: ____________________ & ____________

 

E-mail: _____________________________

 

Contact N.:_____- ______ - _____ Cell: _____- ______ - _______

 

Address: ________________________________________________________

 

 Enter Your Contact Information (Teacher)

 

Instructor’s Name: ____________________

 

E-mail & Contact Number: ___________________ & _________________  

    

       Please “circle” the type of instrument you are playing as below:

Preliminary Fees (On-Line Registration: Credit Card Payment only & No Refunds)

Check or Money Order must accompany all mail-in registration forms. Payable to CIMC (Chicago International Music Competition)

Solo: $40.00   Duets: $50.00

In the Final Show may have to pay $30.

 

Applicant Sign: _____________________________    Date: __________________________________

 

Chicago International Music Competition (CIMC)

Korean Cultural Center 9710 Capitol Dr. Wheeling, IL 60090 topmusic1004@yahoo.com

Phone: 773-822-1021 / 847-947-4460



Piano

Violin

Cello

Flute

Clarinet

Voice

Duet

Group

Chorus

 

 

 

 

 

 

 

 

 

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