|
&nbs=
p;
&nbs=
p;
FORMULAIRE D’ADHÉSION<=
/span>
&nbs=
p;
CLUB DE C=
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AVANING DE
QUÉBEC
C.P. 4101=
2
CO.P. Le =
Mesnil
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=
span>
|
Réserv&ea=
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bureau
Demande reçu=
e le
_______/_______/___=
____
=
span>
Signature__________=
__________
=
span>
Si refusée
Date du conseil
=
span>
_______/_______/___=
____
=
span>
Si acceptée<=
o:p>
Date du conseil
_______/______/____=
___
=
span>
No. Membre :
__________
|
_
(S=
.v.p.
écrire en lettres carrées)
Nom :_____________________________________
Prénom :__________________________________=
_
Adresse : _______________________________________=
______________
App. No :_____
Ville : ________________________________________ =
Code
postal : __________________
Téléphone :
__________________Courriel : _______________________________________=
p>
Occupation :_________________________ Date de
naissance : _____/______/___________
&nb=
sp; =
&nb=
sp; =
&nb=
sp; =
&nb=
sp; =
J M Année
Nom de famille du conjoint=
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_____________________Prénom :______________________
Occupation :_________________________ Date de
naissance : _____/______/___________
&nb=
sp; =
&nb=
sp; =
&nb=
sp; =
&nb=
sp; =
J M Année
Inscrire la date de votre =
mariage
ou de vie commune : ________________________________
Enfants :
_________________________________Date de naissance
_____/______/___________
_________________________________Date de naissance
_____/______/___________
_________________________________Date de naissance
_____/______/___________
_________________________________Date de naissance
_____/______/___________
Équipement :=
p>
Tente ______  =
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p; Roulotte _______
Motorisé ______ Fif=
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Wheel _____ =
Aucun
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<=
/p>
Recommandé
par : _____________________________________________
<=
/p>
No. de membre =
;:
_______________
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