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ALTA SOCIO ESCOLAS DEPORTIVAS / ou actualización de datos soci@.
E.D. LOURENZÁ, MÁIS QUE UNHAS ESCOLAS. DENDE 1996
MADERAS BARCIA CERVO DENDE 2023
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NOME / APELIDOS
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DIRECCIÓN
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TELÉFONO FIXO / MÓBIL
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DATA NACEMENTO
MM
/
DD
/
YYYY
NÚMERO DE DNI
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Correo electrónico
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TIPO DE SOCIO
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SOCIO NORMAL (45 EUROS)
SOCIO DEPORTIVO CON LICENCIA (75 EUROS)
SOCIO DEPORTIVO SEN LICENCIA (45 EUROS)
SOCIO PROTECTOR (75 EUROS)
SOCIO FAMILIAR (65 EUROS)
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En caso de ser socio federado, en deporte:
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NUMERO DE CONTA BANCARIO:
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En caso de ser SOCIO DEPORTIVO, TALLA CAMISETA:
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12/14
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S
M
L
XL
XXL
Perfil en instagram en caso de telo:
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