Association VAL’MUSE - Maison de Pays - 01260 Champagne en Valromey
06 30 06 94 72 - jazzmuse.valmuse@gmail.com - www.val-muse.fr
Registration form to be returned with a check or transfer of 200€ (down payment) or the totality payable to Val’Muse
Bank : Crédit Agricole - IBAN : FR76 1780 6002 4274 6674 1600 033 - Code BIC AGRIFRPP878