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Inscrición en Paso Miúdo
Formulario a rellenar para ser socio de Paso Miúdo
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Email
*
Your email
Nome e apelidos:
*
Your answer
DNI :
*
Your answer
Data de nacemento :
*
Your answer
Tipo de cuota :
*
Infantil
Xuvenil
Maiores
Modalidade :
*
A
B
C
D
E
OT
OT1
Suplementos :
BTT
ESQUI ALPINO
ESQUI NORDICO
SNOWBOARD
Clear selection
Dirección :
*
Your answer
Nº de conta bancaria :
*
Your answer
Teléfono:
*
Your answer
Camiseta de Paso Miúdo (7€)¿Desexa comprar unha?
*
Si
Non
Sudadeira de Paso Miúdo (20€)¿Desexa comprar unha?
*
Si
Non
Talla de camiseta e/ou sudadeira:
Your answer
¿Por qué che interesa entrar nesta asociación?
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Your answer
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