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INSCRICION 2ª COPA PONTEVEDRA ULLA-UMIA-SALNÉS
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ESCUDERÍA
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INDICALO NOME COMPLETO DA ESCUDERÍA, CONCURSANTE COLECTIVO OU CONCURSANTE INDIVIDUAL
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LICENCIA ESCUDERÍA
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ESCUDERÍA, CONCURSANTE COLECTIVO OU CONCURSANTE INDIVIDUAL, EXEMPLO EC-0000-GA
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PILOTO
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NOME E APELIDOS
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DNI PILOTO
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LICENCIA PILOTO
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EXEMPLO E-0000-GA
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TELÉFONO MÓBIL PILOTO
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COPILOTO
NOME E APELIDOS
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DNI COPILOTO
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LICENCIA COPILOTO
EXEMPLO CO-0000-GA
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TELEFONO MÓBIL COPILOTO
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ASISTENCIA
NOME E APELIDOS
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DNI ASISTENCIA
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LICENCIA ASISTENCIA
AS-0000-GA
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TELÉFONO MOBIL ASISTENCIA
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DIRECCION DE CORREO ELECTRONICO
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SERÁ UTILIZADO PARA POSIBLES NOTIFICACIÓNS SOBRE A INSCRIPCION
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