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BULLETIN D'ADHESION
(ASSOCIATION CULTURELLE DE TAMENTFOUST)
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* Indicates required question
Email
*
Your email
NOM
*
Your answer
PRENOM
*
Your answer
SEX
*
HOMME
FEMME
Required
Date de naissance:
*
MM
/
DD
/
YYYY
ADRESSE
*
Your answer
Code postal
*
Your answer
Tél:
Your answer
PROFESSION
*
Your answer
Domaines d'expertises (environnement, architecture, administration... )
Your answer
TYPE DE MEMBRE
ACTIF (peut se présenter candidat au bureau administratif)
ADHÉRENT (participer aux activités uniquement)
MESSAGE
Votre message pour l'ACT (vos motivations?)
Your answer
*
Je reconnais avoir pris connaissance du règlement interieur (disponible sur
http://tamentfoust.blogspot.com/p/reseau.html
)
Required
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