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Email address
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man
vrouw
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Ja
Nee
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vrijdag €5
zaterdag €5
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vrijdag €6
zaterdag €6
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ja
nee
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1/2/3
4
5
6
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8
9
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16:00
17:00
18:00
19:00
20:00
21:00
Hele dag
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ja
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Voor- en achternaam
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Geboortedatum
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Geslacht
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Telefoonnummer
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Rekeningnummer (IBAN)
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Vereniging
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Pre-party op donderdag €5
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Slaapplek (inclusief ontbijt)
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Eten
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Cantus zaterdag €5
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Categorie (speelsterkte) €10 per onderdeel. Bij 2 onderdelen: aanwezigheid vanaf 19.00 op vrijdag is verplicht
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Vrijdag verhinderd op: (zaterdag en zondag geen verhindering mogelijk)
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Ik ga ermee akkoord dat bovenstaande kosten door LUST 2018 van mijn rekening worden geïncasseerd
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Overige vragen/opmerkingen
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