Coupe Mondiale & Festival Registration, Credit Card Euro Payment
CIA competition Schedules are subject to change based on the number of entrie s and organizational needs.
Purchase your full Registration Pack, which allows you entry into ALL events, by 31st May 2009 and save 50%!
1 form to be completed per registration pack

Registration Form for Credit Card Euro Payment

Please complete the following steps using either your 'mouse' or 'tab' key to move between sections:
Personal Information - Please complete the following information
Family Name
First Name
Contact Information
Email Address
Confirm Email Address
Telephone Home Country: City: Number:
Telephone Work Country: City: Number:
Mobile Country: City: Number:
World Accordion Orchestra III Participation
I wish to play in the World Accordion Orchestra III
If Yes, answer the following questions relating to playing in the World Accordion Orchestra III.
Playing Level
I will play an accordion with treble notes   and
OR  
I will be playing another type of accordion
Select Your Registration Category
Child is 15 years and under as at 25th August 2009 with ID. Senior is over 60 years as at 25th August 2009 with ID.
Select from drop down box
How To Send Your Credit Card Information
For your Credit Card Security we will only ask for the first 8 numbers of your credit card. We will email you for the remaining 8 numbers and the CCV security code, after which your credit card payment will be processed.
Type of Credit Card   
ONLY the first 8 numbers of your Credit Card    
Expiry Date of Credit Card (mm/yy)   
Name on Card    
 
We will acknowledge receipt of payment via email. We cannot offer any refunds once purchased.

Your registration package and payment receipt can be collected:
Monday 24th August: At the Spencer on Bryon Hotel, Takapuna (9am - 5pm)
OR
Tuesday 25th August: At the venue, Bruce Mason Centre, Takapuna (9am - 7pm)
  
Submit Your Information
Please submit your information by clicking the "SUBMIT INFO" button below.

    

We look forward to welcoming you to New Zealand for the 62nd Coupe Mondiale!


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