Formulario de Alta de Socio Asenco

ASOCIACION de ENFERMEDADES NEUROMUSCULARES de CORDOBA
http://asencordoba.org - asenco2010@gmail.com
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    Socio Protector

    (En caso que sea diferente al afectado o bien sea el Representante en caso de menor edad)
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    Enfermedad Neuromuscular (ENM)

    En caso de rellenar datos de socio afectado
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    Domiciliación Bancaria

    Aportación voluntaria. Puede optar por 15 Euros trimestrales o 60 Euros anuales . También puede indicar una cantidad libre tanto mayor o menor de las indicadas.
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