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30 The Alea III International Composition Prize Materials must be sent to: Boston University College of Fine Arts School of Music Alea III Composition Prize 855 Commonwealth Avenue Boston, MA 02215 USA There is no application fee. Deadline: March 15, 2012 2012 THIRTIETH COMPETITION OFFICIAL ENTRY FORM (This form must accompany your submission. This form may be photocopied or downloaded from www.aleaiii.com) Name Citizenship Nom de Plume Street Address City State Zip Code Country Telephone number Email address Composer’s website Title of composition Scored for (include all doublings) Performing time Year of composition Composer’s date of birth The undersigned warrants that the above-named composition is his/her original work; that it has not been previously published, recorded commercially, or performed or broadcast publicly in whole or in part or in any other version before the announcement of the prize in late September or early October 2012; and that it has not been awarded any prize. All works remain the composer’s property. The composers whose works are chosen for performance must personally, and in writing, attest that their work is original and free of all claims by others, and that they are empowered to give permission for its performance by Alea III. Finalists will be responsible for supplying parts for performance at their own expense by June 1, 2012. Signature Date The form can also be obtained online—please visit www.aleaiii.com. Boston University’s policies provide for equal opportunity and affirmative action in employment and admission to all programs of the University. 1111 9050000459