REGISTRATION

  1. Name:

  2. Surname:

  3. Education:

  4. Profession:

  5. Organization:

  6. Address:

  7. Post Code:

  8. Country:

  9. Telephone number:

  10. Fax number:

  11. E-mail:

  12. Web-site:

  13. I would like to receive your free information magazine The SAROSH News:
    Yes No

  14. I would like to buy the first CD SAROSH by the band SAROSH:
    Yes No

  15. Comments, questions, needs, suggestions, ideas, projects: