Registration form

AIMS Jazz Workshop

Full Name*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Country Code*
Phone*
Email*
I.D. or passport no.*
Sex*
- Male
- Female
Date of birth*
Date Format: DD slash MM slash YYYY
Age*
What instrument do you play?*
Payment details
A deposit of 200€ must be made at the time of application to reserve a place. This deposit will only be returned if you are not admitted to the Academy. In case you pay via wire transfer, please ensure that your name is referenced on the payment.
Payment method
- By credit card
- Via wire transfer
Inscription fee
Price: 200,00 €
PAYMENT BY WIRE TRANSFER
You can send us your payment via wire transfer to:
Bank Name: BBVA
SWIFT CODE: BBVAESMM
IBAN: ES43 0182 3862 6602 0160 6822
Address:
C/ Castell, 21
25280 Solsona (Lleida)
SPAIN
Comments
This field is for validation purposes and should be left unchanged.