27th October Rising Star Concert Registration Form

Australia Piano World's customer has the prioriy to register.

Contact Name: (required)

Contact Phone Number:

The number of Audience:

How did you hear about us?(required)

Your Email:

Invoice Number (If Applicable):

(Please indicate invoice number if not paying for the registration fee)

Validate Code

I accept that the event holder has the right to use the videos and photos recorded in the event.