Entry Form

Mietta Song Competition 2012

SINGER'S DETAILS
First Name	Surname
Date of birth	Voice type
Street	Suburb
State	Country
Email	Mobile Phone
State PCode	Country
Present Vocal Teacher/Vocal Coach
ACCOMPANIST'S DETAILS
First Name	Surname
Date of birth	Voice type
Street	Suburb
State	Country
Email	Mobile Phone
State PCode	Country

THREE ENTRY SONGS (Include composers)

SINGER'S VERIFICATION

I verify that the above information is correct and agree to abide by the stated rules.

REFERENCE FROM TEACHER/VOCAL COACH

PAYMENT

Forward cheque for $50 made payable to the Mietta Song Recital Award or pay by credit card using Paypal by visiting http://www.miettas.com.au/msra_paypal.html

The Judges? decision is final and no correspondence will be entered into

Address all correspondence to:
The Mietta Song Recital Award,
PO Box 325 South Yarra Victoria 3141 Australia

2012