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Bulletin d'inscription au 10 Km
LES FOULEES DE LA VALLEE DE LA LYS
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NOM
*
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PRENOM
*
Your answer
ANNEE NAISSANCE
*
Format : AAAA ( 1982, 2001...)
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SEXE
*
Cliquez la bonne réponse ( F ou M )
F
M
Required
NATIONALITE
*
3 caractères code pays IAAF : (FRA, GBR, ALG, BEL, MAR, ESP etc....)
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CLUB SPORTIF - ASSOCIATION
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LICENCE
Numéro de Licence et Type
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ADRESSE 1
Pour vous envoyer les invitations
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ADRESSE 2
Your answer
CODE POSTAL
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VILLE
Bureau Distributeur
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TELEPHONE
Pour vous envoyer votre résultat par SMS
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ADRESSE MAIL @
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