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Nom: Prénom: Adresse:

Fiche à compléter pour participation vente amiable AECCP 30 SEPTEMBRE 2012. Nom: Prénom: Adresse: Tel: Mail: Adhérent: OUI / NON

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Nom: Prénom: Adresse:

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  1. Fiche à compléter pour participation vente amiable AECCP 30 SEPTEMBRE 2012 • Nom: Prénom: • Adresse: • Tel: Mail: • Adhérent: OUI / NON • Cheval / Poney. Race: Age: Sexe: Robe: Taille: • Catégorie: Club / Loisir / Dressage / CSO / Autre à préciser: • Tarif: • Date limite d’inscription: 01 09 2012. à envoyer: emmanuel.dekmeer@wanadoo.fr • Les chevaux et poneys présentés doivent avoir obligatoirement un carnet à jour de vaccinations.

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