ࡱ> proq`4bjbjqPqP*p::4* * * * > l0!!!!!"""))))G8*H-X0$1h54|0"""""|0!!0###"!!)#")##$;$!! ~d* k#+$[$0003$4k#:4;$4;$ ""#"""""|0|0# """0""""D* *  MOD. 61 MODULO ISCRIZIONE A GARA Le iscrizioni devono pervenire alla Societ organizzatrice almeno 24 ore prima del sorteggio Dati della Societ richiedente liscrizione: Codice e Denominazione : ....................... - ............................... Indirizzo (completo) : .......................................................... Tel. / Fax / E-mail : .......................................................... Dati gara per la quale si chiede liscrizione: Codice Gara (Codex): ......................... - Tipo (Sigla Tab. T2): ...................... - Specialit: ....................... Data svolgimento: ..................................................... - Localit: .............................................. Denominazione gara: ................................................................................................................................................................................................. NCod. AtletaCognome e NomeSexAnno NascitaPUNTI1234567891011121314151617181920 Il sottoscritto Presidente dichiara che ogni atleta su indicato tesserato FISI, in possesso di idoneit medica prevista dalla vigente normativa e si impegna a versare la quota di iscrizione richiesta. Data, ..................................................................................... IL PRESIDENTE DELLA SOCIETA' ............................................................................................... (Timbro)  #- C  L M N O d 1 @ g i l x       # $ - . 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