JAVNI SKLAD RS ZA KULTURNE DEJAVNOSTI -  REPUBLIC OF SLOVENIA PUBLIC FUND FOR CULTURAL ACTIVITIES 
	 Štefanova 5, 1000 Ljubljana, faks: 01 24 10 510
	
	APPLICATION FORM
	International Summer Theatre Workshops
Izola, August 25th to September 2nd 2012
	Name and Surname: __________________________________________________________
Theatre Group: ______________________________________________________________
Full Address (Street, House Number, Town): 
_____________________________________________________________________
 Post Code: ________________ Area______________________________________
Telephone_______________________ e-mail ______________________________
(Mobile Phone) 
	I would like to register for the following workshop: 
	___________________________________________________________
Please enclose your CV of theatre experience!!!
	FEE PAID BY /Circle/
	Myself						Institution / School / Other		
	Institution / School / Other_________________________________
Address (Street, House Number, Town):_______________________________
_____________________________________________________________________
Post Code: ________________ Area____________________________________
Telephone number ____________________Fax_____________________________________
	Are you a taxable person for VAT (circle): 	YAS	NO
VAT Number_____________________________________________
Date: 					Stamp: 			Signature of the person 
in charge of fee payment: