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Formulari de registre d'incidències produïdes pels talls elèctrics a la comarca de l'Urgell
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Email address
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Your email
Nom:
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Cognoms:
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Your answer
Adreça:
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Població:
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Telèfon de contacte:
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Your answer
Adreça electrònica
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Companyia elèctrica:
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Número del contracte:
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