Ficha Unica De Inscripcion

  • November 2019
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FICHA UNICA DE INSCRIPCION “Sueños de un Ángel” Lima - Perú

El Club Oficial de Yuridia en Perú “Sueños de un Ángel” te da la bienvenida

NOMBRES: ________________________________________________________ APELLIDOS:________________________________________________________ EDAD:

__________________

CUMPLEAÑOS____________________

DISTRITO: _________________________________________________________ E – MAIL:

_________________________________________________________

TELEFONO: CASA___________________MOVIL_________________________

_______________________ Firma Yurifan

________________________ Firma Directiva Fecha: _________________

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