***** CrestMusePEDB Application Form ***** ======================================================================= [Format for subject line] CrestMusePEDB Application ======================================================================= [Form for main text] 1) Your information: Name of user: _____________________________ Name of person in charge: _____________________________ Title of person in charge: _____________________________ Name of organization: _____________________________ Address: _____________________________ City: _____________________________ Province/State: _____________________________ Postal/ZIP code: _____________________________ Country: _____________________________ Telephone: _____________________________ (include country code) Fax: _____________________________ (include country code) E-mail: _____________________________ Date Pledge completed: _____________________________ (DAY/MONTH/YEAR)] The user's e-mail address must be registered on a mailing list for the CrestMusePEDB announcements. (allusers [at] pedb.crestmuse.jp) The Pledge 2) E-mail address for mailing list for discussions in CrestMusePEDB and CrestMuseXML: (cmx-dev [at] crestmuse.jp) ( ) I hope to be registered. ( ) I won't. 3) How did you learn about the CrestMusePEDB? [ ] Saw it on _______________________________ [ ] Was told about it by ____________________ [ ] Discovered it on WWW [ ] Other (_________________________________) (Please erase all non-applicable lines and fill in the blank, if necessary.) - Special notes: _____________________________________________ (Please enter instructions for information to be listed on the receipt or any other relevant information.)