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FORMULARIO INSCRIPCIÓN SOCIO/A
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DATOS PERSONALES
NOMBRE Y APELLIDOS
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Your answer
DNI
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FECHA DE NACIMIENTO
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MM
/
DD
/
YYYY
LICENCIA MUNICIPAL
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Your answer
Nº TARJETA TRANSPORTE
Your answer
DATOS DE CONTACTO
DOMICILIO
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Your answer
CP
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Your answer
LOCALIDAD
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Your answer
TELÉFONO
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Your answer
CORREO ELECTRÓNICO
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EMISORA
RADIO TAXI
TELE TAXI
Other:
EURO-TAXI
SI
NO
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