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Aliĝilo
por komuna konferenco de ĈEA, SKEF a AEF en la urbo Břeclav inter 27.-30.9.2012
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Nomo
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Antaŭnomo
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Titolo
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Numero de la legitimilo
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(por membroj de ĈEA, SKEF, AEF) (nemembroj elpensu 5 ciferojn=variebla simbolo)
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Adreso
Strato
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Poŝtkodo loko
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Retadreso
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Telefono
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Vojaĝ/civitana legitimilo
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Mi volas loĝi kun
(ev. 3-a en la internulejo)
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Vegetarano
(por manĝontoj)
jes
ne
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