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Introduceti informatiile dvs.
Va rugam completati minim campurile obligatorii marcate cu *
Nume:
*
CNP:
Banca:
Cont bancar:
SWIFT Banca:
Nume echipa:
*
Inscrie nr. porumbei:
*
Adresa email:
*
Numar de telefon:
*
Tara:
*
...
Afghanistan
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Algeria
American Samoa
Andorra
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Anguilla
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Australia
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Virgin Islands, U.s.
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Judet:
*
...
Alba
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Bihor
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Sibiu
Suceava
Teleorman
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Tulcea
Vâlcea
Vaslui
Vrancea
Judet:
Oras:
*
...
București, Sector 1
București, Sector 2
București, Sector 3
București, Sector 4
București, Sector 5
București, Sector 6
Oras:
*
Adresa:
*
Cod postal:
*
Da, am citit, am inteles si sunt de acord cu Contractul si Regulamentul de participare
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