REGISTRATION FORM
EAST TENNESSEE STATE UNIVERSITY / CALIFORNIA STATE UNIVERSITY FRESNO
WEST COAST CLARINET CONGRESS 2004
January 9-11, 2004 (ETSU) and January 16-18, 2003 (Fresno State)


First Name Last Name

Address


City   State   Zip 

Phone  ()   SS#  

Spouse's name (if attending)


I wish to participate in a master class presented by:

Registration fee $  
Master class fee $ (upon approval, first come, first served)
Spouse fee          $

Total                    $

Payment Information:

Please print and fill this registration form; then, return it with payment to:

Dr. Miles Ishigaki
Department of Music
California State University, Fresno
2380 E. Keats Ave. MS #77
Fresno, CA 93740-8024


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