COMPOSITION COMPETITION 2005:  ENTRANCE FORM 

Please complete this entrance form in CAPITALS and send it to the address shown below by May 1^st 2005, together with the score being submitted and the sum of 30 Euros, or 22 pounds sterling, or 50 US dollars (see the Competition information and conditions for payment methods). If you are submitting more than one score a separate form is required for each, and the fee quoted above is per individual score. Those items marked with an asterisk(*) on the form below must also be written on the score as this form will not be seen by the jury until after thier selection of the finalists has been made.

Pseudonym (name given on score)*.............................................................................................

Title of work*................................................................................................................................

Duration*...........................Year of composition* .........................Recording included: YES / NO

Instrumentation.............................................................................................................................

Composer's Real Name................................................................................................................

Address........................................................................................................................................

Tel.......................................................................Fax....................................................................

Email...........................................................................................................................................

Age........................................ Sex  M / F     Nationality................................................................

On a separate sheet you are invited to give a brief description of your musical career (preferably in English, Italian or French) if you wish.

I declare that I have read and fully accept the regulations

Signature.......................................................................................

In accordance with Italian Law 675/96 (Privacy law) participation in the Competition includes authorisation to process personal data and to use it in activities related to the Competition

Pease enter your payment details
     Amount for this score (30 euros / 22 pounds / 50 US dollars)................................
     Total amount enclosed if paying for more than one score.......................................
     Payment method (cheque / cash / bank transfer)..................................................

This form, the score and fee should be sent to: 
The Secretary, Reggello International Festival, 
c/o Uroboros Ensemble, 
40 Woolstone Road, 
London SE23 2SG, 
Great Britain