SporTriple

May 15th, 2011

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Birthday :

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Age on december 31st :

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Sex :

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# Membre Fédération québécoise d'athlétisme :

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Option 1:
Send by fax with Visa or Mastercard # to (450) 227-3578
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Option 2:
Send by mail with cheque to:
SporTriple 1139, chemin de la Paix Saint-Sauveur Qc. JOR 1R2
NO POSTDATED CHECKS.