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Club Megane R.S. France
Adhésions 2019
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Email
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Fiche à compléter pour devenir adhérent au Club Megane R.S. France
Formule choisie
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Membre seul : 36 euros
Couple : 55 euros
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Membre seul ou 1er membre si formule "Couple"
PSEUDO
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Nom
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Prénom
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ADRESSE
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CODE POSTAL
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VILLE
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NUMERO DE TELEPHONE
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Date de naissance
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Véhicule (marque + modèle)
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Immatriculation
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