Form Membership 2024-5 | Inter Club London

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FIRST NAME

LAST NAME

DATE OF BIRTH

PLACE OF BIRTH

NATIONALITY *

ITALIAN

UK

OTHER

CODICE FISCALE

HOME ADDRESS

PHONE NUMBER

EMAIL

GENDER *

MALE

FEMALE

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CHOOSE YOUR MEMBERSHIP (£) *

JUNIOR (KIT SOLD-OUT)) - £15

LIGHT (no KIT) - £34

CLASSIC (KIT SOLD-OUT) - £39

PLUS (KIT SOLD-OUT) - £56

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Thank you for your order

WELCOME TO THE FAMILY!

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