Application form
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APPLICATION TO PSeME | APPLICATION TO PSeME | ||
| − | + | ................... | |
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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 | citizenship | ||
| − | + | Hereby I apply to be a member of the Polish Society for Electroacoustic Music | |
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| − | + | ||
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| − | |||
| − | + | ....................... | |
| + | signature | ||
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
