APPLICATION FORM for the participant of the final stage of the International Competition 'Golden Easel 2019'

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Contact person: Vitaliy Tsymbal
Email: vittsymbal@gmail.com
https://www.facebook.com/artclass.org
https://artclass.lviv.ua/en/

Period from May 27 to June 1, 2020

A charitable contribution of $30 must be sent to:

CHARITABLE ORGANIZATION «CHARITABLE FUND «LVIV CHILDREN'S GALLERY»
IBAN Code UA663253210000026001053711373
Name of the bank JSC CB "PRIVATBANK", 1D HRUSHEVSKOHO STR., KYIV, 01001, UKRAINE
Bank SWIFT code PBANUA2X

or pay by credit card

https://www.liqpay.ua/api/3/checkout?data=eyJ2ZXJzaW9uIjozLCJhY3Rpb24iOiJwYXlkb25hdGUiLCJwdWJsaWNfa2V5IjoiaTM4OTgzODQ2NSIsImFtb3VudCI6IjAiLCJjdXJyZW5jeSI6IlVTRCIsImRlc2NyaXB0aW9uIjoiRG9uYXRlIiwidHlwZSI6ImRvbmF0ZSIsImxhbmd1YWdlIjoiZW4ifQ%3D%3D&signature=%2B7%2FlCgLunshX2m6Ld1xJafi3ckQ%3D

We ask participants to complete the application form by March 20, 2020 (included)

First Name *

Last Name *

Age *

Country *

City *

Email *

Phone number *

Accommodation *

Independent (Hotel, Hostel etc)

Dormitory (accommodation at the base of /Monastery of St. Josaphat in Briukhovychi)

Accompanying person

First Name *

Last Name *

Email *

Phone number *

I sent an email with the attachment, name of the participant and contact phone number to the Organizing Committee - vittsymbal@gmail.com *

A copy of the receipt for payment of the charitable donation

Required

I agree that all paintings created in the International Children Art Competition 'Golden Easel 2019' are owned by CHARITABLE ORGANIZATION CHARITABLE FUND «LVIV CHILDREN GALLERY» and will not be returned *

Yes, I confirm

Required

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