online-Anmeldung

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Anmeldung für:	-
Name/Vorname:
Strasse:
PLZ/Ort:
Tel P/G:
Mobile:
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STV-Nummer:	Geb.Datum:
Verein:
Funktion:
Bemerkungen:
	Ich habe die »Geschäftsbedingungen für Kurse des BLTV gelesen und bin damit einverstanden.