INSCRIPCIÓ ART AL VENT 2018- XVª ED.
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CORREU ELECTRÒNIC - Mail *
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TELÈFON DE CONTACTE - Teléfono de contacto - Phone number *
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NOM- Nombre - Name *
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COGNOMS - Apellidos - Surname *
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DNI, NIE o PASSAPORT *
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CARRER (PL, AV., ETC.) - Calle - Street *
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NÚM., PIS, PORTA, ESCALA . - Núm., piso, puerta, escalera - Num., floor, door, etc. *
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CIUTAT - Ciudad - City *
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CODI POSTAL - Código Postal - Postal Code *
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PAÍS - Country *
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NACIONALITAT - Nacionalidad - Nacionality *
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TÍTOL DE L'OBRA - Título de la obra - Work's Title *
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TÈCNICA I MATERIALS- Técnica y materiales - Technique & materials *
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VOLS RECUPERAR LA TEUA TELA EN ACABAR L'EXPOSICIÓ? Quieres recuperar la tela al acabar la exposición? Dou you want to recover your fabric when the exhibition will be finished? *
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LLIG ATENTAMENT LES BASES I ACCEPTA LES SEUES CONDICIONS - Lee atentament las bases y acepta sus condiciones - Read the terms and condictions carefully and accept them *
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