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Formulaire d'inscription [Registration form] –
Stage
de musique et danses traditionnelles et baroques de l'Académie des Musiciens de Saint-Julien, du 1 au 3 novembre 2024 - Le Havre
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Email
*
Your email
Civilité |
Civility
*
Madame
Monsieur
Prénom |
First
name
*
Your answer
Nom |
Name
*
Your answer
Date de naissance
| Date of birth
*
MM
/
DD
/
YYYY
Nationalité |
Nationality
*
Your answer
Profession |
Job
*
Your answer
Adresse |
Adress
*
Your answer
Code postal |
Postcode
*
Your answer
Ville |
City
*
Your answer
Pays |
Country
*
Your answer
Numéro de portable |
Telephone number (+ area code)
*
Exemple: +33 (0)9 81 18 57 45
Your answer
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