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  • FichaIns PremioMarioSilvaPT

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    aaagp_portugal
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    FichaIns_PremioMarioSilvaPT

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    Copyright:

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    Download as PDF, TXT or read online from Scribd
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    39 views1 page

    FichaIns PremioMarioSilvaPT

    Uploaded by

    aaagp_portugal

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    FICHA INSCRIO

    Sede: Rua Figueira da Foz n 40 3090-495 Paio, Portugal Tlm: 96 55 23 499 Tel: 233 941 115 E-mail: asociacion.aaagp.pt@gmail.com Blog: http://aaagp-portugal.blogspot.com/

    Nome Nome Artstico


    (se for o caso)

    Residncia Cdigo postal Telemvel: Telefone: Pais Data de nascimento:


    Email

    Localidade

    Outras informaes:

    Valor do seguro da/s obra/s: - 1

    Dados da(s) obra(s): ttulo/tcnica/medida/preo Obra n1: Ttulo: Tcnica: Obra n2: Ttulo: Tcnica: Medidas(cm): Preo: Medidas(cm): Preo:

    Data

    Assinatura

    Estou de acordo com todos os pontos mencionados no Regulamento do Prmio Mrio Silva:

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