Hereby, I apply for the Summer Course For Art Lovers, Stari Grad, Island of Hvar, Croatia, as:

active participant
escort

for the dates:

1 July - 8 July 2010

First and last name:
Address and phone:
Supplement:
Signature:


INSTRUCTION: print out the application form, fill it in and mail it to:
Studio Tanay, Draškovićeva 30, 10000 Zagreb, Croatia,
or fax it to +385 1 48 73 456.

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