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El Tangone #12
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* Indicates required question
Pour les inscriptions en couple, ne remplir qu'UN SEUL formulaire / For couple registration, please use ONLY ONE form
Inscription en couple / Do you have a partner ?
*
Oui / Yes
Non / No
Votre pré-inscription / Your pre-registration
Prénom / First name
*
Your answer
Nom / Last name
*
Your answer
e-mail
*
Your answer
Ville / City
*
Your answer
Pays / Country
*
Your answer
Téléphone / Phone Number
*
Your answer
Rôle / Role
*
Leader
Follower
Votre pass / Your pass
Choisissez votre pass / Please choose your pass
*
Pass TanGone : 52€ - MilonGone : 47€ - Adhérents : TanGone 47€ / MilonGone 42€
TanGone - full pass (5 milongas)
MilonGone - 4 milongas
Etes-vous adhérent à l'association ? / Are you a member ?
*
Non / No
Oui / Yes
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