APPLICATION FORM Choose only one option. Option A1 - Instrument (all included) Not selectedNo discount -> 475 EUR20% discount - repeated registration -> 380 EUR10% discount - institutions and partners referred to in the poster -> 427 EUR Option A2 - Instrument (without meals and accomodation) Not selectedNo discount -> 300 EUR20% discount - repeated registration -> 240 EUR10% discount - institutions and partners referred to in the poster -> 270 EUR Option B1 - Ensembles, Consort and Continuous Bass (all included) Not selectedNo discount -> 300 EUR40% discount - participants of the Free Course Baroque Music for ESART Orchestra -> 180 EUR20% discount - repeated registration -> 240 EUR10% discount - institutions and partners referred to in the poster -> 270 EUR Option B2 - Ensembles, Consort and Continuous Bass (without meals and accomodation) Not selectedNo discount -> 200 EUR40% discount - participants of the Free Course Baroque Music for ESART Orchestra -> 120 EUR20% discount - repeated registration -> 160 EUR10% discount - institutions and partners referred to in the poster -> 180 EUR Option C - Listener (all included) Not selectedNo discount -> 275 EUR10% discount - for those who accompany A1 registration instrument -> 247 EUR Option D - CIMA One-day Not selectedNo discount -> 80 EUR Name Gender Select...MaleFemale Date of Birth Responsable Person (if minor) Cellphone (Responsable) Nationality Address City Region Postal Code Country Select country...AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia & HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo - BrazzavilleCongo - KinshasaCook IslandsCosta RicaCôte d’IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard & McDonald IslandsHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSamoaSan MarinoSão Tomé & PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia & South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. HelenaSt. Kitts & NevisSt. LuciaSt. MartinSt. Pierre & MiquelonSt. Vincent & GrenadinesSudanSurinameSvalbard & Jan MayenSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluU.S. Outlying IslandsU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis & FutunaWestern SaharaYemenZambiaZimbabwe Phone Email Instrument Tessitura of the voice Message Payment method Select...Bank transferMB Multibanco (available in Portugal only) Confirm Application