- Accueil
- Fichiers
- Votre séjour
- Inscription
- Anglais
- Allemand

To return to :
Mr. Gérard HALFEN
126, rue de Picpus -
75012 PARIS
gerardhalfen@yahoo.fr
Tel : 01 77 12 60 39 ou 06 07 73 67 49
Cheques to be made out to : « les Musicales de Grillon-Académies-Concerts”
IBAN : FR81 2004 1010 0818 9967 3B02 927, BIC : PSSTFRPPMAR.
First Name, Family Name :
Address (city, zip code, country) :
Telephones :
Email :
Birth date:
Profession :
Instrument :
For choir members, name of choir where you sing regularly :
For students, name of school/teacher :
Number of years of studying :
Musical Academy (*) : Choir Guitar Organ
For choir academy (*) : Soprano Alto Tenor Bass
Chosen option (*) : 1 2 3 4
(*) Mark the right mention.
Deposit : 150 €
Year 2012 membership fee of the association “les musicales de Grillon-Académies-Concerts” : 20 €
Having accepted the conditions for participation and registration, I am hereby including :
- a cheque for 150 € deposit for my participation;
- a cheque for 20 € membership fee;
- a self-addressed and stamped envelope.
Date: Signature:
Nota : For any questions related to payment methods, please contact the treasurer, Mr. Gérard Halfen