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SEIZOEN 2010 - 2011 |
Datum : |
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NAAM
- VOORNAAM |
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| GEBOORTEDATUM |
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| ADRES |
straat : |
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postcode/gemeente : |
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PLOEG |
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N° BESTELBON : |
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| MERK |
REF |
ARTIKEL |
KLEUR |
MATEN & AANTAL |
TOT
# |
Aantal |
logo |
verk. prijs KSKLT incl btw |
totale som |
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| A |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
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| B |
XS |
S |
M |
L |
XL |
XXL |
3XL |
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| C |
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MISC |
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| OMSCHRIJVING |
CODE |
D |
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| TRAININGSPAKKET
SENIOR MATEN 2010-11 |
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| NIKE |
329355 |
TEAM POLYWARP |
ROYAL |
463 |
B |
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0 |
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logo |
25,00 |
gratis |
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| NIKE |
329356 |
TEAM POLYWRP CUF |
OBSIDIAN |
451 |
B |
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0 |
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15,00 |
gratis |
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| NIKE |
264654 |
TEAM RAIN JACKET II - kw |
ROYAL |
463 |
B |
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0 |
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30,00 |
gratis |
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| NIKE |
BA2480 (L) |
TEAM SALES DUFFEL - zak |
NAVY |
472 |
B |
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0 |
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25,00 |
gratis |
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| NIKE |
SC1792 |
TIEMPO TEAM TRAIN |
ROYAL |
5 |
A |
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0 |
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10,00 |
club |
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| SUPPLEMENTAIRE
BESTELLING 2010-11 |
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| NIKE |
264655 |
TEAM LONG
WINTER |
ROYAL |
463 |
B |
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0 |
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logo |
70,00 |
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| NIKE |
329345 |
CLUB CLIMA FIT RAIN |
ROYAL |
463 |
B |
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0 |
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logo |
60,00 |
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| NIKE |
329352 |
TEAM HALF ZIP TOP |
ROYAL |
463 |
B |
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0 |
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logo |
40,00 |
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| NIKE |
329353 |
TEAM FLEECE HOOD |
ROYAL |
463 |
B |
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0 |
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logo |
40,00 |
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| TRAININGSPAKKET
JUNIOR MATEN 2010-11 |
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| NIKE |
329317 |
TEAM
POLYWARP |
ROYAL |
463 |
B |
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0 |
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logo |
20,00 |
gratis |
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| NIKE |
329318 |
TEAM POLYWRP CUF |
OBSIDIAN |
451 |
B |
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0 |
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15,00 |
gratis |
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| NIKE |
264623 |
TEAM RAIN JACKET II - kw |
ROYAL |
463 |
B |
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0 |
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25,00 |
gratis |
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| NIKE |
BA2478 (L) |
TEAM SALES DUFFEL - zak |
NAVY |
472 |
B |
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0 |
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20,00 |
gratis |
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| NIKE |
SC1792 |
TIEMPO TEAM TRAIN |
ROYAL |
5 |
A |
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0 |
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10,00 |
club |
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| SUPPLEMENTAIRE
BESTELLING 2010-11 |
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| NIKE |
264624 |
TEAM LONG
WINTER |
ROYAL |
463 |
B |
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0 |
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logo |
60,00 |
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| NIKE |
329328 |
CLUB CLIMA FIT RAIN |
ROYAL |
463 |
B |
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0 |
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logo |
40,00 |
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| NIKE |
329314 |
TEAM HALF ZIP TOP |
ROYAL |
463 |
B |
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0 |
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logo |
35,00 |
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| NIKE |
329315 |
TEAM FLEECE HOOD |
ROYAL |
463 |
B |
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0 |
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logo |
35,00 |
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| LIDGELD SEIZOEN
2010-11 |
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VOORSCHOT |
U6-U21 |
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150,00 |
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REST |
DEBUT U6-U7 |
255,00 |
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105,00 |
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datum : |
U8-U21 |
275,00 |
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125,00 |
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2de GEZIN |
200,00 |
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50,00 |
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3de GEZIN |
150,00 |
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0,00 |
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Naam
- voornaam lid KSKLT :
VOOR AKKOORD
Handtekening
e-mail adres : |
Naam - voornaam bestuurslid
KSKLT : |
TOTAAL |
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| TE BETALEN |
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President : APPELMANS Dimitri |
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TVJO : CRABBE Patrick |
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JC : SPAEPEN Luc |
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gsm : 0478 579 259 |
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gsm : 0477 41 91 21 |
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gsm : 0477 52 56 84 |
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dimitri.appelmans@partena-partners.be |
crabbep@telenet.be |
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spaepen.luc@skynet.be |
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dimitri.appelmans@telenet.be |
patrick.crabbe@proximus.blackberry.com |
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E-mail: webmaster@ksklternat.be |
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Website: www.ksklternat.be |
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