APRES-MIDI DU HIGHSTONE FORMULAIRE D'INSCRIPTION

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APRES-MIDI DU HIGHSTONE FORMULAIRE D'INSCRIPTION

25ème édition des APM du HIGHSTONE - Samedi 07 janvier 2017 - DMX

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Nom *

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Prénom *

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Numéro de téléphone *

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Adresse mail *

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Numéro de licence *

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Votre Classement en DMX *

Choose

NC

P12

P11

P10

D9

D8

D7

R6

R5

R4

N3

N2

N1

Série *

Espoir

Promotion

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Partenaire (Nom, Prénom, N° licence, Club) *

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Contraintes horaires - Observations

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