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Ficha de Inscrição Associados
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Nome:
*
Your answer
Rua:
*
Rua, Nº
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Bairro:
*
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Telefone Residencial:
*
(xx) xxxx-xxxx
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Telefone Comercial:
(xx) xxxx-xxxx
Your answer
Telefone Celular:
(xx) xxxx-xxxx
Your answer
msn:
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E-mail:
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Data de nascimento:
*
00/00/0000
Your answer
RG:
*
Your answer
Profissão:
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Atividades artísticas:
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Áreas de Interesse:
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Integra algum grupo? Qual?
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Histórico Artístico:
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Sugestões para a APAC:
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