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7 сентября 2010 года, вторник

Design Competition Registration Form

19.04.2010 | COMPETITION, Украина

Name_________________________, ______________________
   last name                                         first name


Profession or occupation: __________________________ Student: yes/ no


Firm or School: _____________________________________________________


Your Address: _______________________________________________________


City: ____________________ State (if U.S.A):________ Zip: _________


Country: _________________                 ______________________


Telephone: (     ) ________________ - _____________________


Email Address: ___________________________________________


Email Address: ___________________________________________

Please, repeat in capital letters


TEAM MEMBER: name ________________________________________


TEAM MEMBER: name ________________________________________


TEAM MEMBER: name ________________________________________


 


Sign: I have read the competition rules and agree to abide by them.


___________________   _____________________________________
date                            signature of individual or team leader


 


Print this form, fill it out, sign it, and mail to: vek@i.kiev.ua, iosif-56@mail.ru


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