| Name : |
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| Surname : |
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| Place : |
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| Date of born : (..-..-....) |
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| Phone number : |
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| E-mail address : |
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| Member Draughts club : |
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| Aspected arrival date : (..-..-....) |
(later to conform) |
| Aspected departure date : (..-..-....) |
(later to conform) |
| I want lodging: |
Apartement:
Bungalow:
No lodging: |
| I want a single room: |
Yes :
No : |
| I want to use the airport shuttle : |
Yes :
No : |
| Special whises: |
|
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