THEME SONG - REGISTRATION FORM

Registration is free by return e-mail to [email protected] or by post to:

Secretariat General of the 49 th IEC

Attn: Abbé Louis-André Naud

1073, boul. René-Lévesque O.

Québec, QC G1S 4R5

I am registering for the Musical Composition Contest for the theme song organized by the IEC, and I accept the above conditions. Please send the selected text to the following address:

NAME: _________________________________________________________

ADRESS: _______________________________________________________

POSTAL CODE: ___________ TELEPHONE: _________________________

E-MAIL: ________________________________________________________

DATE: _____________ SIGNATURE: _______________________________