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centre-wudang-taichi-qigong
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Omple aquest full d'inscripció per a inscriure't al nostre centre
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WU DANG Escola Superior de Tai-chi i Qigong
C/. Eduard Rodeja 4 17600 Figueres (Girona) Tel : 647 181 231 e-mail: [email protected]
www.taichifigueres.com
FULL DINSCRIPCI DADES PERSONALS Nom i cognoms _________________________________________________________ Adrea ________________________________________________________________ Poblaci ____________________ Codi postal ___________ Provncia ______________ Telf: _______________________ e-mail: _____________________________________ CLASSES TAIJI 1 dia per setmana ____________ 34 /mes 2 dies per setmana ___________ 66 /mes QIGONG __________________________ 20 /mes DADES BANCRIES Entitat _________________________________________________________________ N CC (20 dgits): __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Signatura Data