Solo Performer/Ensemble/Orchestra Name:
- Leader/Conductor First name:
- Family name:
- Date of Birth if under 25 years:
- Phone Contact:
- Email address:
- Street address (include post code):

Brief Description of performance and performers.
Name of each performer:

- Music # 1 Title, Arranger, Composer, Playing time:
- Music # 2 Title, Arranger, Composer, Playing time:
- Music # 3 Title, Arranger, Composer, Playing time:
- Music # 4 Title, Arranger, Composer, Playing time:
- Music # 5 Title, Arranger, Composer, Playing time:
- Music # 6 Title, Arranger, Composer, Playing time:

If applicable: Teachers Name:
- Teachers Email:
- Teachers Phone:

- List Fees being sent:
- Application Fee: $10
- Membership Fee:
- Total sent:

Note: All entrants in the South Pacific and New Zealand Accordion Championships and Festival MUST be current financial members of the NZAA. Please fill in a membership form if you're not currently a financial member.

Please transfer the fees into the following account with your first name initial and your family name as part of the subject line.
Bank: Bank of New Zealand
Account Name: NZ Accordion Association
Account Number: 02-0272-0374890-000

After sending your email Festival Performance application, the NZAA Competition Secretary will send you an email confirming receipt of your application.