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IZENA EMATEKO ORRIA - BOLETÍN DE INSCRIPCIÓN - INSCRIPTION SHEET
Email address *
Izen abizenak / Nombre y Apellidos / Name *
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Jaiotze data - Fecha de nacimiento - Birthdate *
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Lekua - Lugar - Place *
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Herrialdea - País - Country *
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Helbidea - Dirección - Address *
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Herria - Población - Town *
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Herrialdea - Provincia - District *
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P.K. / C.P. / P.C.
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Telefono 1 *
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Telefono 2
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E-mail *
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Aurkezten den maila / Nivel al que se presenta / Level to which is presented *
Joko duen lehen obra / Primera obra que interpretará / First piece to be performed *
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Egilea / Autor / Author
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Joko duen bigarren obra / Segunda obra que interpretará / Second piece to be performed *
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Egilea / Autor / Author
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Joko duen hirugarren obra / Tercera obra que interpretará / Third piece to be performed *
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Egilea / Autor / Author
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