sócio nr: ___ (a preencher por nós)

Nome: __________________________________________________________________________________________

Morada: ________________________________________________________________________________________
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Nr. de Telefone: __-________    Telemóvel: ____-________

Data de Nascimento: __/__/____     Local: ________________

e-mail: ___________________________________
nickname IRC: __________________
URL: ___________________________________________________________________________________________

material dos Garbage que tens (opcional): ______________________________________________________
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10 músicas favoritas dos Garbage: ______________________________________________________________
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álbum dos Garbage favorito: ______________________

3 letras dos Garbage favoritas: ________________________________________________________________
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fã desde: ________

outras 5 bandas favoritas: _____________________________________________________________________
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desejo publicar o seguinte anúncio: ____________________________________________________________
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