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Application - MIA Innovation DK (Copenhagen Society)
(used for the registration by MIA Innovation DK only)
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Please, fill-in the form :
Name / Navn og efternavn
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Your answer
E-mail/ E-post
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Your answer
Address/ Adresse
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Your answer
CPR number/ CPR nummer
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Your answer
Mobile phone/ Telefonnummer
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Your answer
I want to pay the membership fee 300 DKK via:
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Bankkonto
Mobile pay
Other:
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