2010 IcMEC Application form

Applications must be submitted before March 15, 2010

Ensemble Name1 *
Ensemble Category *	Sonata Duo Piano Duo (1 piano, 4 hands) Piano Trio Piano Quartet / Piano Quintet Ensembles with Winds String Ensembles Jazz & Folk Ensembles Vocal Chamber Groups Baroque ensemble
Ensemble Age Group2 *	Group I (age 13 and under) Group II (age 14 to 17) Group III (age 18 to 22) Group IV (age 23 to 29) Group V (age 30 and older)
Application Fee * (number of ensemble members x $50.00)	$
Late Application Fee, if applicable	$50.00
Payment options	Pay by credit card. After submitting the form you will be transfered to the secure payment web site.  Pay by check. Make your check payable to CMFoNE and send it to: CMFoNE P.O. Box 35085 Boston, MA 02135
Repertoire *
Composer Name *
Composition Piece *
Duration of the Piece
Videotape Included3
Ensemble Contact Person (coach, parent or one of the ensemble members) to whom all the correspondence should be sent:
Contact Name *
Home Phone
Work Phone *
Mobile Phone
Email *
Address
I undersigned below agree to abide by all rules and procedures governing this competition as outlined in the brochure. I understand that an incomplete application (including failure to pay all fees and failure to fill in the form properly) will result in disqualification if not settled in writing by April 1, 2008. All fees are non-refundable. 4

Ensemble Members (For each Ensemble member please print the following information.)
First and Last Name *
Musical Instrument *
Date of Birth
Home Phone
Mobile Phone
Email Address
Home Address

First and Last Name *
Musical Instrument *
Date of Birth
Home Phone
Mobile Phone
Email Address
Home Address

First and Last Name
Musical Instrument
Date of Birth
Home Phone
Mobile Phone
Email Address
Home Address

First and Last Name
Musical Instrument
Date of Birth
Home Phone
Mobile Phone
Email Address
Home Address

First and Last Name
Musical Instrument
Date of Birth
Home Phone
Mobile Phone
Email Address
Home Address

¹ Ensemble Name should be not more than 3 words and 25 characters. Example: “Quartet Amadeus”, “Cambridge Trio”.
² Ensemble’s Age Group is determined by the age of its oldest member on March 15, 2010.
³ International and out of New England Ensembles may provide a Videotape/DVD or CD in lieu of Audition.
⁴ All schedules will be emailed after April 5, 2010. Judges decisions are final and non-negotiable.