Subscripció - Galette v1.0.2

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Gender:

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Man

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Name:

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Company:

És empresa?

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(yyyy-mm-dd format)

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Profession:

Llengua:

Contact information:

Address:

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Telèfon:

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E-Mail:

Id GNUpg (GPG):

Galette-related data:

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Username: (at least 2 characters)

Captcha

How much is onze minus cinc?

(numbers only)

Other information:

Additionnal fields:

Je parle le dialecte

Je parle l'allemand standard