Application form
From PSeME - Polish Society for Electroacoustic Music
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APPLICATION TO PSeME | APPLICATION TO PSeME | ||
| + | ................... | ||
| − | |||
place & date | place & date | ||
| − | + | ............................ | |
| + | |||
first and last name | first and last name | ||
| − | + | ........................ | |
| + | |||
adres / address | adres / address | ||
| − | + | .................................. | |
| + | |||
date and place of birth | date and place of birth | ||
| − | + | ................. | |
| − | + | ||
| − | + | citizenship | |
| − | + | ||
| + | Hereby I apply to be a member of the Polish Society for Electroacoustic Music | ||
| − | + | ....................... | |
| − | + | signature | |
Latest revision as of 17:27, 9 October 2010
APPLICATION TO PSeME
...................
place & date
............................
first and last name
........................
adres / address
..................................
date and place of birth
.................
citizenship
Hereby I apply to be a member of the Polish Society for Electroacoustic Music
.......................
signature
