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"No act of kindness, no matter how small, is ever wasted"
You can join the TNSSG group or our cause on FACEBOOK
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Indien u met meerdere personen deelneemt aan de contactdag, verzoeken wij u ons voor iedere deelnemer een apart formulier te retourneren.
Ik wil mij hierbij aanmelden voor deelname aan de contactdag:
Naam: ………………………………………………. Adres: ………………………………………………. Postcode, plaats ………………………………………………. Telefoon: ………………………………………………. E-mail: ……………………………………………….
Organisatie: ………………………………………………. ………………………………………………. Functie: ………………………………………………. Specialisme: ……………………………………………….
Interessegebied: ………………………………………………. ………………………………………………. ……………………………………………….
Translated para) medici and other people concerned If you take part with several persons in the contact day, requests we you us for every participant a separate form to return. I want submit an application for participation to the contact day: Name: ....................................................... Address: ....................................................... mail code, place ....................................................... Tel.: ....................................................... E-mail: ....................................................... Organisation: ....................................................... ....................................................... Function: ....................................................... Specialism: ....................................................... interest area: ....................................................... ....................................................... ....................................................... |
