Entry Form Please complete in capitals.   Name : ...................................................................................   Surname : ...................................................................................   Date of birth (DD/MM/YY) : ............../............../..............   Address : ................................................................................... ................................................................................... ...................................................................................   Zip Code : ....................   City : ...................................................................................   Country : ...................................................................................   Phone : ...................................................................................   E-mail : ........................................@.........................................     I have taken acknowledgement of the contest regulations and accept them in full.   Signature :         Please send both entry form and cheque (70 euros order made out to "CAC de Barbezieux") to :   Concours International de Guitare Robert-Jean Vidal Cc ODECA Mme Régine BOISSARD 27 rue Louis Desbrandes 16000 Angoulême, France