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Inscriptions AQUA GYM 2017/2018
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Date du jour (JJ/MM/AAAA)12/06/2017
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Êtes vous ancien ou nouvel adhérent ?
Ancien
Nouvel
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Nom
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Prenom
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Date de naissance (JJ/MM/AAAA)
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Adresse
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Code postal
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Ville
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Fixe
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Portable
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Email
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Merci de bien vouloir confirmer votre email
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