TXINGUDI ERRUGBY TALDEKO BAZKIDE-FORMULARIOA
FORMULARIO SOCIO TXINGUDI RUGBY CLUB
IZENA / NOMBRE *
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ABIZENAK / APELLIDOS *
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HELBIDE OSOA / DIRECCION COMPLETA *
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P.K. / C.P. *
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HERRIA / POBLACIÓN *
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PROBINTZIA / PROVINCIA *
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TELEFONOA / TELEFONO *
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POSTA ELEKTRONIKOA / CORREO ELECTRONICO *
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K.K. ZBKIA / Nº DE CTA. CTE. (IBAN) *
ESXX XXXX XXXX XXXX XXXX XXXX
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URTEKO ZENBATEKOA / IMPORTE ANUAL: 25 €
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