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SOCI JAB BERGA
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NOM I COGNOMS
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DNI O SIMILAR
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DATA DE NAIXAMENT
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ADREÇA COMPLETA
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TELÈFON DE CONTACTE
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CORREU ELECTRÒNIC
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XIP GROC
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TALLA EQUIPACIÓ
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XS
S
M
L
XL
XXL
ESTAS FEDERAT?
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SI, FCA
SI, RFEA
No, PERÒ VOLDRIA
NO
TENS ALGUNA PREGUNTA?
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