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Fes-te soci/a de la associació de veïnes i veïns de Prosperitat
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Nom
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Cognoms
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DNI / NIE / Passaport
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Adreça, número, pis
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Codi Postal
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Municipi
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Telèfon
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Professió
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Data de Naixement
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MM
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DD
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YYYY
Lloc de Naixement
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Correu electrònic
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Preferència per rebre comunicacions
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Correu electrònic
Carta postal
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