Anmälan till kurs i XXXXX
Kopiera blanketten nedan till ett mail och skicka det till ingershus@tele2.se
alt. till Ingers HUS Hjärtungen 10 464 92 Mellerud
Datum:_____________________________
Namn:______________________________________________________
Adress:_____________________________________________________
Postadress:_________________________________________________
Tfn hem:____________________________________________________
Mobil:_______________________________________________________
E-post:______________________________________________________
Eventuella allergier:________________________________
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