Bliv medlem af Middelfart Kommune’s Hjortelaug.
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Sendes til: Uffe Simonsen, Gl. Strandvej 155, 5500 Middelfart
Navn: ____________________________________________________
Adresse: ____________________________________________________
Postnr.: _____________ By: ___________________________________
Telefon: ______________
Mobil: ______________
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Bank: Middelfart Sparekasse
Reg.nr./ kontonummer: 0756- 3224267559