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aanmeldingsformulier
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voorletters of voornaam
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achternaam
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aanspreking
mevrouw
de heer
n.v.t.
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straatnaam + huisnummer
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postcode
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woonplaats
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telefoonnummer
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emailadres
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titel werk
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afmetingen (hoogte, breedte, diepte)
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soort werk (bv schilderij, beeld)
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techniek (bv olieverf, pentekening, keramiek)
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