REGISTRATION FORM
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Course with (teacher's name) : ............................................................................................. |
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Dates : ................................................................................................................................ |
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Place : ................................................................................................................................. |
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Level(s) : ............................................................................................................................. |
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Surname, Name :.................................................................................................................. |
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Adress :. .............................................................................................................................. |
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Postcode, town : ................................................................................................................. |
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e-mail : ................................................................................................................................ |
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Téléphone : .......................................................................................................................... |
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Date of birth : ....................................................................................................................... |
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I am a member of school or association : ............................................................................... |
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As soon as we receive the above information, AL SUR will confirm your subscription by e-mail. |
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Date : |
Signature : |
Send to : Ser Flamenco, BP 52, 84142 Montfavet Cedex