Order

Name of the Competitor *

E-mail *

Medal (15 Euro/piece)

WWWSTAR Glass Award (30 Euro/Pieces)

Teacher Certificate Order *

Yes

No

Name of the Teacher

Shipping address where you would like the award to be sent *

Billing address *

* The Competitior's name must be provided when making the transfer. Bank: Vi-Va Art of Music and Dance Foundation IBAN: HU30 1174 9039 2109 3229 0000 0000

I accept

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