Publication 2
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Udruga „Slavoljub Penkala“
Krešimirova 3, 51000, Rijeka, HRV tel. 00385/ 51 332 990 mob. HRV 00385/ 91 184 86 63
Pristupnica za članove udruge „Slavoljub Penkala“
INFORMACIJE O ČLANSTVU (popunjava član)
Ime: Prezime: JMBG: Adresa: Grad: Država: Telefon: Mobitel: Područja interesa:
U _____________, dana, _______ 2008.
VLASTORUČNI POTPIS
Krešimirova 3, 51000, Rijeka, HRV tel. 00385/ 51 332 990 mob. HRV 00385/ 91 184 86 63
Pristupnica za članove udruge „Slavoljub Penkala“
INFORMACIJE O ČLANSTVU (popunjava član)
Ime: Prezime: JMBG: Adresa: Grad: Država: Telefon: Mobitel: Područja interesa:
U _____________, dana, _______ 2008.
VLASTORUČNI POTPIS
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