Inscription Stage Initial MF2 à Mérignac (29/10 au 3/11)
Inscription validée à reception du chèque au siège du Comité régional CSNA (Frais techniques : 180€ licenciés CSNA / 220€ hors CSNA)
Email address *
Nom *
Your answer
Prénom *
Your answer
N° Licence (X-XX-XXXXXX) *
Your answer
Nom Club *
Your answer
N° club *
Your answer
Adresse postale *
Your answer
Date obtention MF1 *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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