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FES-TE SOCI DEL CLUB ATLETIC BERGA
Vols ser soci?
Omple aquest formulari
Quota 25€ l'any
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NOM I COGNOMS
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DNI
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MOBIL
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CORREU ELECTRÒNIC
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DATA DE NAIXEMENT
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SEXE
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DONA
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POBLACIÓ
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PROVÍNCIA
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Nº COMPTE CORRENT (Rebut anual domiciliat)
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