ࡱ> FHE5@#bjbj22!$XX  D4444AAA$Rj|-A=AAA44 L)))A44)A) )IMu4 `)מ eb0m_"EuuETAA)AAAAADV d V Entry form to membership in KPaCHP o.s.First name:Second name:Date of birth:Title:Street:Town, Postal code:Tel/Fax no.:Email:Kennel:Membership adviced by:PaymentYear membership fee: 30 EUREntrance fee: 5 EUR Bank account: 198685374/0300Variable symbol: 11Name of our bank: SOBPlease stisk here the confirmation about your payment.Filled entry form with the confirmation about your payment please send to our Registry:Zuzana Faltejskov `andov Adress: KYesetice 152, CZ - 285 47 okr. 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