Association des plaisanciers de Loperhet - Registration - Galette

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Identity:

Picture:

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Title:

Gender:

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Man

Woman

Name:

First name:

Company:

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Contact information:

Address:

Zip Code:

City:

Country:

Phone:

Mobile phone:

E-Mail:

Region:

Galette-related data:

Be visible on public pages:

Username:

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Captcha

I have three Galettes, I give twelve of them. How many Galettes do I have?

(numbers only)

Other information:

Additional fields:

Nom du bateau

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Type de bateau

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Immatriculation

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Mode de propulsion principale

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Longueur de coque(en m)

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Tirant d'eau minimum

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Tirant d'eau maximum

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Pour les voiliers

Tirant d'air (pour les voiliers)

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Poids (pour les voiliers) en T

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Position

Latitude

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Longitude

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Info corps mort

Année adhésion

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