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Solicitud de asociación
Biblioteca Popular Bernardino Rivadavia - Arroyo Seco
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Apellido
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Nombres
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Fecha de nacimiento
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DD
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YYYY
Nº de Documento
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E-mail
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Domicilio
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Localidad
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Teléfono Celular
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Teléfono Fijo
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Ocupación
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Forma de pago de la cuota
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Débito automático con tarjeta de débito o crédito $190 mensuales
Cobrador a domicilio $ 200 mensuales (Solo Arroyo Seco)
Pago anual $ 2400
Other:
Lugar de pago si eligió opción cobrador a domicilio
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