Submission Form 2012

candidatura

Become a “Bally Artist of the Year” is an opportunity not to be missed, and for this reason we urge you to immediately send your application by filling out the following form.

In parallel, please send us your curriculum vitae and complete portfolio of images in print and / or digital to this address:

 

Fondazione Bally per la Cultura

c/o Mazzantini & Associati SA

Corso Elvezia, 10 – CH – 6900 – Lugano
Email: info@fondazionebally.ch
Phone: 091 910 56 60

 

All applications must reach the “Bally Foundation for Culture” by December 2013.

 


 

Nome / First Name *

Cognome / Last Name *

Data di Nascita (gg/mm/aaaa) / Date of Birth (mm/dd/yyyy)

Nazionalità / Nationality *

Professione / Occupation *

Residente in Ticino in / Resident in Ticino:

Indirizzo / Address *

Città / City *

NAP / Post Code *

Telefono / Phone *

Cellulare / Mobile Phone

E-mail *

Immagine / Image (max: 1mb)

Mi occupo di / My occupation is about:

Ho già esposto le mie opere / I have exhibited my works *
 sì / yes no / no

Consenso al trattamento dei dati personali / I agree to receive information about Bally

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* = Campi obbligatori / Required fields