Name:
Organization or School:
Address:
Postal Code & Town:
Country:

Phone Number (day):
Phone Number (evening):
Fax:
E-mail:

Exchange possibilities: (please check those that apply)

Host a band from another country;
Serve as a resource person for community bands, music schools, curriculum development, music marketing or industry;
Appear as guest conductor in another country;
Write a commissioned work for wind band;
Participate in instruction at a conservatory, college or university;
Organize a study tour for myself;
Exchange with another conductor, composer or teacher;
Invite a guest conductor from another country;
Commission a work for my wind band
Other:

Languages spoken/fluency:

Additional Information: