Belgium Staffordshire bull terrier Club
Aanmeldformulier lidmaatschap BSBTC
Registration form Membership BSBTC
Ik wil lid/gezinslid worden van de BSBTC / I want to become a member / familymember of the BSBTC *
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Naam en voorletters (s): Name and initials: *
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Geboortedatum: Date of birth: *
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Adres: Adress: *
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Postcode: Zipcode: *
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Plaats: Place: *
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Land: Country: *
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Telefoonnummer: Phone number: *
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Email adres: Email address: *
Uw bevestiging met lidnummer wordt naar dit adres gestuurd.
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Ondertekend door: Signed by: *
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Datum: Date: *
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