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..::
Informations about the writer of this form::..
Name of the writer
E-mail
address
..::
Informations about Club ::..
Name
of Club
Common Abreviation
of your club
Postal Address
of your club
Zip code
Town
Country
Phone Club
Fax Club
Web site
..::
Informations about the President of club ::..
Name
of President
E-mail address of
President
Postal
address
Zip code
Town
Country
Phone
Fax
The
president agree to diffuse the postal address
Yes
No
The
president agree to diffuse the Phone and Fax
Yes
No
Other Name of contact
in your club
E-mail address of
other contact
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