NOTA: FAVOR DE LLENAR EN LETRA DE MOLDE

NOMBRE DE LA ASOCIACIÓN:  
NOMBRE DEL EQUIPO:  
      EN CASO DE QUE LA ASOCIACION TENGA MAS DE UN EQUIPO

         

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                     nombre                                                                                             nombre

 

                                                               __________________________
                                                                     Firma del Pres.de la Asoc de Charros