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COLAR FOTO 3X4

COLAR FOTO 3X4. COLAR FOTO 3X4. RECADASTRAMENTO (MATRÍCULA 2010). RECADASTRAMENTO (MATRÍCULA 2010). N° da matrícula:_____________( uso da escola ). N° da matrícula:_____________( uso da escola ). Nome:____________________________________Dt.Nasc.:___/___/___

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COLAR FOTO 3X4

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  1. COLAR FOTO 3X4 COLAR FOTO 3X4 RECADASTRAMENTO (MATRÍCULA 2010) RECADASTRAMENTO (MATRÍCULA 2010) N° da matrícula:_____________(uso da escola). N° da matrícula:_____________(uso da escola). Nome:____________________________________Dt.Nasc.:___/___/___ Fone:______________________Cel.:____________________________ Email: ___________________________MSN:_______________________ End.:__________________________________________n°___________ Bai.:_______________________CEP: _______________UF:__________ Cid.:_____________________Sangue Tipo:_________________________ Nome:____________________________________Dt.Nasc.:___/___/___ Fone:______________________Cel.:____________________________ Email: ___________________________MSN:_______________________ End.:__________________________________________n°___________ Bai.:_______________________CEP: _______________UF:__________ Cid.:_____________________Sangue Tipo:_________________________ Escolha sua opção e marque com um “x” Escolha sua opção e marque com um “x” • ( ) Wushu Kung-Fu ** ( ) Taijiquan • ( ) R$ 30,00 até 15/01/2010. Parcela única. • ( ) R$ 40,00 em 02 parcelas 15/01/10 e 15/02/10. • ( ) R$ 45,00 após 15/02/10 em parcela única até 19/02/10. UBERABA WUSHU SOCIETY BRASIL UBERABA WUSHU SOCIETY BRASIL • ( ) Wushu Kung-Fu ** ( ) Taijiquan • ( ) R$ 30,00 até 15/01/2010. Parcela única. • ( ) R$ 40,00 em 02 parcelas 15/01/10 e 15/02/10. • ( ) R$ 45,00 após 15/02/10 em parcela única até 19/02/10.

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