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<title>Untitled Document</title>
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<table width="600" border="0" align="center" cellpadding="0" cellspacing="0">
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<td valign="top" bgcolor="#F1F1F1"><form action="add_to_list.asp" method="post" name="form1" id="form1">
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<td> </td>
<td height="25"><p>Efectue a sua inscrição preenchendo os seguintes dados:</p></td>
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<td> </td>
<td> </td>
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<td class="texto"><div align="left">NOME</div></td>
<td height="25"><div align="left">
<input name="nome" type="text" class="form_news" id="inscricao" size="60" />
<label></label>
</div></td>
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<td class="texto">DATA DE NASCIMENTO</td>
<td height="25"><div align="left">
<input name="nascimento" type="text" class="form_news" id="inscricao" size="20" maxlength="10" />
dd-mm-aaaa</div></td>
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<td class="texto"><div align="left">BI</div></td>
<td height="25"><div align="left">
<input name="bi2" type="text" class="form_news" id="bi3" size="25" maxlength="12" />
</div></td>
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<td class="texto"><div align="left">LOCALIDADE</div></td>
<td height="25"><div align="left">
<input name="localidade" type="text" class="form_news" id="inscricao" size="35" />
</div></td>
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<td class="texto"><div align="left">TELEF./TELM.</div></td>
<td height="25"><div align="left">
<input name="contacto" type="text" class="form_news" id="inscricao" size="20" maxlength="9" />
</div></td>
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<td class="texto"><div align="left">E-MAIL</div></td>
<td height="25"><div align="left">
<input name="mail" type="text" class="form_news" id="inscricao" size="45" />
</div></td>
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<td><div align="left"></div></td>
<td><div align="left"></div></td>
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<div align="left"> </div></td>
<td><input name="Submit" type="submit" id="Submit2" value="Enviar" /></td>
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</form></td>
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<p> </p>
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