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  • Fecha de Ingreso

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    juan cepeda
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    ghh

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    ghh

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    0 views1 page

    Fecha de Ingreso

    Uploaded by

    juan cepeda
    ghh

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Fecha de ingreso________________

    Formulario de Registro para pertenecer al club Amigo Leales Datos


    Personales

    Nombre: _______________________________________________

    Apellido: _______________________________________________

    Cedula: ________________________________________________

    Dirección: ______________________________________________

    País: ____________________________________________

    Ciudad de Origen: _________________________________

    Email: ________________________________________________

    Facebook: ____________________________________________

    Teléfono: _____________________________________________

    Celular: ______________________________________________

    Datos Adicionales

    ¿Qué te motiva a formar parte del club Amigo Leales?

    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    ______________________________________________________________________

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