
Registration Form
Please Tick Appropriate Boxes
Please Print Out Form, Fill In Information
And Return With Registration Fee To:
Sabine Schulz
Stockhausen-Stiftung für Musik
Hachenberger Weg 57, 51515 Kürten, Deutschland
Tel: + 49 (0)2268-908757
Fax: + 49 (0)2268-908848
sabine.schulz@stockhausen-stiftung.de
Please enroll me, __ Mr. / __ Ms.:
Name:_________________ Surname:____________________
Date of birth:________________________________________
Street:_____________________________________________
City with Zip code:___________________________________
Country:____________________ Tel.:___________________
Fax:____________________ e-mail:____________________
as participant to Stockhausen Courses Kürten 2008.
Composer__ Musicologist:__ Sound Projectionist__Auditor:__
Interpreter__: Instrument:_____________________________
I have prepared the following work(s):
__________
___________
____________
Date:________________ Signature:____________________
Dates (arrival-departure)
3. 7. 2008-21.7.2008________________
11. 7. 2008-21. 7. 2008________________
other:_____________________________ __
Arrival
I will have a car: yes:__ maybe:__
My car and me would be willing to participate in a car pool while in
Kürten: yes__, no:__
Preferred lodging:
private* (0-15 €)__
hotel single room* (ca. 30-100 €)__
hotel double room* (ca. 30-110 € per person)__
vacation apartment* (15-30 € per person)__
I do not need lodging:__
* I accept sharing these rooms with other participants to the courses.
__ I have enclosed a check of __ 375 €*, __ US$ 554.00*.
(*including 15 € US$ 18 bank handling charges).
__ I have transferred 360 € to account number 121 678 509 of the Postbank Köln
(bank code: 370 100 50) for the Stockhausen-Stiftung für Musik
(IBAN: DE4137010050 0121 6785 09; BIC / SWIFT: PBNKDEFF).
Bank charges for the transfer are at my expense.