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OTOÑO/UDAZKENA 2019
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NOMBRE DE LA ACTIVIDAD/JARDUERAREN IZENA
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NOMBRE/IZENA
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APELLIDO 1/ABIZENA 1
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APELLIDO 2/ABIZENA 2
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TELÉFONO/TELEFONOA
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CORREO ELECTRÓNICO/POSTA ELEKTRONIKOA
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POBLACIÓN/HERRIA
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Cómo te ha llegado la información?/Nola jaso duzu informazioa?
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Rango de edad/Adin-maila
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6-12
13-17
18-30
31-60
>60
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