Participant
  
Date of Application
Write in full eg June 11th 2009  
Full Name*
Address
State
City
Zip code
Country *
Phone/Mobile
Fax
Email *
Age
Date Of Birth
Languages Spoken
Gender
Category of Entry
  
Solo (1) person
Small Group (1 to 5 persons)
Band
TALENTS
  
Dance
Type
Vocal
Type/Style
Acting
Type
Modelling
Type
Instrumentalist
Type/Style
Production
Song Writing
Screenwriting
Filmmaking
Other  
Meals *
Shuttle Service *
From Cascadia Hotel, Cascade to Port of Spain  
Photo Portrait Available (8 x 10)
Passport available and valid **
American visa available/valid
(for scholarship prize)
How did you find out about us ?
Referred by
Confirmation  
Receipt Number **

This you get from the bank after you make the payment. This number is the transaction number
Payment Made at
*Follow Instructions Link above*  
 


EARLY BIRD REGISTRATION COST
$  750.00 (Non Refundable) 
includes, Meals, Shuttle,Certificate of Participation, Photo Portrait & Opportunities Listed here

Account Numbers

FCB           # 1767303
RBL           # 870297777501
RBTT        # 1917252254
Configured at T'ony Bliss Productions
All Payments are to be made at ANY of the bank branches given. The reciept number (the Unique transaction number) received after this payment is to be entered in the respective area in the form below. A unique registration number will be emailed to you upon registration