Formulari Socis

  • August 2019
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FORMULARI SOCI DADES PERSONALS Noms i Cognoms N.I.F. Direcció Població

C.P.

Tèl./mòbil

Fax

País

e-mail

QÜOTES Soci ……………………………

……50 Euros

Soci Familiar……………………………75 Euros Soci Jove Sub 18………………………….. 15 Euros Soci Jove Sub 25…………………………...20 Euros Soci Jubilat………………….. .

…....20 Euros

Soci d´Honor…………………..

……110 Euros

DOMICILIACIÓ BANCÀRIA Prec carreguin els rebuts del C.E.Campanet al següent compte bancària: Titular del compte:

Entitat

Agencia

DC

No compte

Data: [email protected]

Província

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