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03/02/2015
Vlib Passion for 14-26 years old
Mr. VU TUAN-HUNG
04/01/1989
9 Rue Henri Pape, Chez M. Xuan-Thuy Ngo
75013 Paris
tuanhungvu@gmail.com
0618736701
19858079
0401
Express
2727 8903 1224
Date:
Subscription:
Date of birth:
Address :
Email adress :
Mobile :
Subscriber number :
Pin code :
Card :
Association code :
Reminder prices for races : first forty-five minute free, first additional half-hour =1, second additional half-hour = 2, from the third
additional half-hour and per half-hour = 4.
Date :
03/02/2015
Object :
Annual subscription
Validity :
Transaction name :
Transaction type :
Debit
Amount :
29,00
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