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FORMULAR
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Uried
Madame
Monsieur
Familjenumm
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Your answer
Virnumm
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Your answer
Memberschaft
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Wei eng Zort vu Memberschaft wellt dir?
Aktiv
Donateur
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e-Mail
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Your answer
Adress (privat)
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Your answer
Postleitzahl
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Your answer
Uertschaft
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Your answer
Telefon
Your answer
Cercle(n)
A wei engen Cercle(n) wor dir aktiv?
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Joergäng
Weini wor dir aktiven Studentvertrieder?
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Employeur / Société
Bei weem schaft dir momentan?
Your answer
Fonctioun / Beruf
Wei ee Beruf / eng Funktioun übt dir momentan aus?
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