From: <Guardado por Windows Internet Explorer 8>
Subject: FICHA DE INSCRIPCION SLALOM 2009.doc
Date: Thu, 10 Dec 2009 17:51:41 -0300
MIME-Version: 1.0
Content-Type: text/html;
	charset="utf-8"
Content-Transfer-Encoding: quoted-printable
Content-Location: http://mail.google.com/mail/?ui=2&ik=2891349a65&view=att&th=12578848e1dd5434&attid=0.2&disp=vah&zw
X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2900.5579

=EF=BB=BF<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD><TITLE>FICHA DE INSCRIPCION SLALOM 2009.doc</TITLE>
<META content=3D"text/html; charset=3Dutf-8" http-equiv=3DContent-Type>
<STYLE type=3Dtext/css media=3Dprint>.hide {
	DISPLAY: none
}
</STYLE>

<META name=3DGENERATOR content=3D"MSHTML 8.00.6001.18812"></HEAD>
<BODY=20
style=3D"PADDING-BOTTOM: 0px; MARGIN: 0px; PADDING-LEFT: 0px; =
PADDING-RIGHT: 0px; PADDING-TOP: 0px">
<DIV class=3Dhide>
<DIV=20
style=3D"BORDER-BOTTOM: #eeeeee thin solid; PADDING-BOTTOM: 4px; =
PADDING-LEFT: 8px; PADDING-RIGHT: 8px; FONT-FAMILY: Arial,sans-serif; =
BACKGROUND: #ffffcc; PADDING-TOP: 4px"><A=20
href=3D"http://mail.google.com/mail/?view=3Datt&amp;th=3D12578848e1dd5434=
&amp;attid=3D0.2&amp;disp=3Dattd&amp;zw">Descargar=20
el archivo adjunto original</A></DIV></DIV>
<DIV style=3D"MARGIN: 1ex">
<DIV>
<P align=3Dcenter><FONT size=3D3=20
face=3D"Times New =
Roman"><B>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;=20
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<WBR>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
<WBR>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;=20
<U>N=C2=BA=20
INSCRIPTO</U>=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=
=A6.<U>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;<WBR>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
</U></B></FONT>&nbsp;<BR>&nbsp;<BR></P>
<P align=3Dcenter><FONT size=3D5 face=3D"Times New Roman"><B><U>FICHA DE =

INSCRIPCION</U></B></FONT></P>
<P align=3Dcenter><FONT size=3D4 face=3D"Times New =
Roman"><B><U>CAMPEONATO ARGENTINO=20
DE SLALOM</U></B></FONT></P>
<P align=3Dcenter><FONT size=3D3 face=3D"Times New Roman"><B><U>11, 12 Y =
13 DE=20
DICIEMBRE DE 2009</U></B></FONT>&nbsp;<BR>&nbsp;<BR>&nbsp;<BR></P>
<P><FONT size=3D3 face=3D"Times New Roman">NOMBRE Y=20
APELLIDO:=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=
=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=
=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6<WBR>=E2=80=A6=E2=80=A6=E2=
=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6..</FONT></P>=

<P><FONT size=3D3=20
face=3D"Times New =
Roman">DIRECCION:=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=
=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=
=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6<WBR>=E2=80=A6...=E2=80=A6=
=E2=80=A6C.P:=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=
=A6=E2=80=A6=E2=80=A6=E2=80=A6</FONT></P>
<P><FONT size=3D3=20
face=3D"Times New =
Roman">GUARDERIA:=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=
=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=
=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6<WBR>=E2=80=A6=E2=80=A6=E2=
=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=
=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6</FONT></P>
<P><FONT size=3D3=20
face=3D"Times New =
Roman">TE:=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=
=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6.=
.EMAIL:=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6<WBR>=E2=80=A6=E2=80=A6.=E2=80=
=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=
=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6..</FONT></P>
<P><FONT size=3D3 face=3D"Times New Roman">FECHA DE=20
NACIMIENTO:=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=
=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6EDAD:<WBR>=
=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=
=80=A6=E2=80=A6=E2=80=A6=E2=80=A6.</FONT></P>
<P><FONT size=3D3 face=3D"Times New Roman">MARCA/MODELO=20
TABLA:=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=
=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=
=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6<=
WBR>=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6. </FONT></P>
<P><FONT size=3D3 face=3D"Times New Roman">&nbsp;<B>N=C2=BA DE=20
VELA:=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6...=E2=80=A6=E2=80=A6=E2=
=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=
=A6=E2=80=A6=E2=80=A6=E2=80=A6</B></FONT>&nbsp;<BR></P>
<P><FONT size=3D3 face=3D"Times New Roman"><B><U>EL NUMERO DE VELA DEBE =
SER UNICO=20
PARATODAS LAS VELAS=20
UTILIZADAS</U></B>.</FONT>&nbsp;<BR>&nbsp;<BR>&nbsp;<BR>&nbsp;<BR></P>
<P><FONT size=3D3 face=3D"Times New Roman"><U>MARCAR CATEGORIA EN QUE SE =

INSCRIBE:</U></FONT></P><A name=3D0.2_table01></A>
<DIV align=3Dcenter>
<CENTER>
<TABLE border=3D2 cellSpacing=3D0 width=3D284>
  <TBODY>
  <TR vAlign=3Dtop>
    <TD><FONT size=3D3 face=3D"Times New Roman"><B>SLALOM</B></FONT>=20
      <P align=3Dcenter><FONT size=3D3=20
    face=3D"Times New Roman"><B>PRO</B></FONT></P></TD>
    <TD><FONT size=3D3 face=3D"Times New Roman"><B>SLALOM =
AMATEUR</B></FONT></TD>
    <TD><FONT size=3D3 face=3D"Times New Roman"><B>AMATEUR=20
  =
OPEN</B></FONT></TD></TR></TBODY></TABLE></CENTER></DIV>&nbsp;<BR>&nbsp;<=
BR>&nbsp;<BR>&nbsp;<BR>&nbsp;<BR>&nbsp;<BR>
<P align=3Djustify><FONT size=3D3 face=3D"Times New Roman">LAS ENTIDADES =
ORGANIZADORAS=20
NO SE RESPONSABILIZAN POR EL DA=C3=91O =C3=93 ROBO DE EQUIPOS, O LESION =
DE PERSONAS, EN=20
TIERRA O EN EL AGUA, QUE PUDIERAN OCURRIR COMO CONSECUENCIA DE SU =
PARTICIPACION=20
EN ESTE CAMPEONATO.</FONT>&nbsp;<BR>&nbsp;<BR></P>
<P align=3Djustify><FONT size=3D3 face=3D"Times New Roman"><B><U>PAGO=20
INSCRIPCION</U></B>: =
=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=
=80=A6=E2=80=A6=E2=80=A6 </FONT>&nbsp;<BR>&nbsp;<BR>&nbsp;<BR></P>
<P=20
align=3Djustify>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<FONT=20
size=3D3 face=3D"Times New Roman"><WBR>FIRMA =
TIMONEL:=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=
=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6.&nbsp;</FONT></P>
<UL>
  <UL>
    <UL>
      <UL>
        <P align=3Djustify>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<FONT size=3D3=20
        face=3D"Times New =
Roman">ACLARACION:=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=
=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6.<WBR>..</FON=
T></P></UL></UL></UL></UL>
<UL>
  <UL>
    <UL>
      <UL>
        <P align=3Djustify>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<FONT size=3D3=20
        face=3D"Times New Roman">DOCUMENTO=20
N=C2=BA:=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=
=80=A6=E2=80=A6=E2=80=A6=E2=80=A6=E2=80=A6..</FONT></P></UL></UL></UL></U=
L></DIV></DIV></BODY></HTML>

