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Ficha de Inscrição 2012
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* Indicates required question
Nome e Apelido
*
Your answer
Nº do B.I./C.C
*
Your answer
Data Nascimento
*
Dia - Mês - Ano
Your answer
Sexo
M
F
Localidade
Your answer
Telefone
Your answer
E-Mail
Your answer
Equipa
Your answer
Percurso
*
50 km
25 km
10 km p/ crianças
Required
Tipo de Inscrição
*
15 € c/almoço
10 € s/almoço
8 € acompanhante
Required
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