Formulari d'afiliacio

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* Indicates required question

Cognoms/Apellidos *

Your answer

Nom/Nombre *

Your answer

DNI *

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Sexe/sexo *

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Dona/Mujer

Home/Hombre

Data naixement/Fecha nacimiento *

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Adreça/Domicilio *

Your answer

CP *

Your answer

Població/Población *

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Tel

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Mail

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Tipus/Tipo *

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Arquer +14

Arquer -14

Familiar (+3)

Assegurança R.C. individual volunària/Seguro R.C. individual voluntario *

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Si

No

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