Please fill out, print and send per post to: Emö Simonyi, Hilblestr. 12, D- 80636 München, Germany
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Registration
SUMMER ART ACADEMY SIMONYI in Sant´ Anna in Camprena (Pienza) from Aug. 23 - Sept. 5, 2010.
First & Last name: Date of birth:
Street: Tel:
Postal Code & City: Mobile phone:
E-mail:

Costs for the painting course
1 week
2 weeks
Art course
270 EURO
470 EURO


Prices for rooms with halfl board (dinner) 1 week (7 days)
2 weeks (14 days)
Double room
(per person)		 shared bathroom 350 Euro 700 Euro
private bathroom 385 Euro 770 Euro
Single room shared bathroom 455 Euro 910 Euro
private bathroom 525 Euro 1050 Euro
Small single room *) shared bathroom 385 Euro 770 Euro
*) the small single rooms have a window to the courtyard, the other single rooms are double rooms used by one person only. 

Accompanying persons who do not participate in the art workshop have to pay an advance of 140 Euro per week for the room

I understand and agree with the terms of participation and register herewith (Please check off desired arrangement):

week
 art course single room
shared bath		 single room
with bath		 small single room
shared bath		 double room
shared bath		 double room
with bath
Aug. 23 - Aug. 29, 2010
 booked up
Aug. 30 - Sept. 5, 2010 booked up

Arrival by car Arrival by train
I want to share a double room with someone else*) I arrive in Chiusi with the night train on Sunday morning
and I want to be picked-up (fee 15 EURO)
*) if there are no more single rooms available
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