German piano Association

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Membership Application

Membership Application:

Place of work:

Please fill in the name of your work unit

Full name: Please fill in your name

Country: Please fill in your country

Province: Please fill in your province

City: Please fill in your city

Address:Please fill in your detailed address

Gender:

male female

Please fill in your gender

Date of birth:

Please fill in the date of your birth

Telephone: Please fill in your phone number

Job title: Please fill in your job title

Email: Please fill in the correct email address

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Remarks:

Picture: Upload pictures

Video: Upload video

Password: Please set 6-20 digit login password

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