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International Computer Music Conference

September 25th-30th 1997

THESSALONIKI - GREECE

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ICMC 97
GENERAL INFORMATION FORM,
REQUIRED FOR ALL FORMS:

Please print or type:

First Name: ____________________________________________________________

Last Name: _____________________________________________________________

Institution: ___________________________________________________________

____ check here if the institution name is part of the mailing address

Mailing Address: _______________________________________________________

City/State/Province: ___________________________________________________

Postal/Zip Code: _______________________________________________________

Country: _______________________________________________________________

Telephone (include country code): ______________________________________

Fax: ___________________________________________________________________

Email: _________________________________________________________________

STUDENTS MUST PROVIDE EVIDENCE OF ENROLLMENT, SUCH AS A COPY OF STUDENT IDENTIFICATION OR THE FOLLOWING ADDITIONAL INFORMATION:

Institution: ___________________________________________________________

ID Number: _____________________________________________________________

Faculty Supervisor's Name: _____________________________________________

Title: _________________________________________________________________

Faculty Supervisor's Signature: ________________________________________