FICHA DE INSCRIÇÃO (PDF)




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Title: FICHA DE INSCRIÇÃOx
Author: Elisabete

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FÓRMULA RACING
TRACK DAY-17/07/11
FICHA DE INSCRIÇÃO.
Valor: €80.00
Millennium BCP
Conta:00000 45365633666
BIC/SWIFT: BCOMPTPL
IBAM:PT50 0033 0000 4536 56336660 5
NIB: 0033 0000 4536563366605

NOME:_________________________________________________________________________________
DATA DE NASCIMENTO:___________________________________________________________________
MORADA:______________________________________________________________________________
EMAIL:______________________________________________TELEMÓVEL_________________________
VEÍCULO:____________________________________________CLUBE:_____________________________

OBSERVAÇÕES:

Início: 9:00hs Somente ½ dia.
4 Sessões de 20 minutos.

Contactos:
Uanderson Moura - 927748048
Email: formularacing.mail@sapo.pt






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