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{\title B O L E T I N  D E  I N S C R I P C I \'d3 N }{\author FLOR BUDIA}{\operator Pablo Bielza}{\creatim\yr1999\mo11\dy4\hr10\min11}{\revtim\yr2001\mo11\dy28\hr9\min7}{\version3}{\edmins1}{\nofpages2}{\nofwords929}{\nofchars5297}
{\*\company ENTOMOLOGIA}{\nofcharsws0}{\vern8249}}\paperw11909\paperh16834\margl1699\margr1699\margt1417\margb1411 
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\par 
\par }{\b\f1\fs22\ul B O L E T \'cd N  D E  I N S C R I P C I \'d3 N }{\b\f1\fs22 
\par }{\f1\fs22 
\par }\pard \qj \li0\ri0\widctlpar\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 El que suscribe solicita ser admitido en la }{\b\f1\fs22 SOCIEDAD ESPA\'d1OLA DE ENTOMOLOG\'cdA APLICADA (S.E.E.A.)}{\f1\fs22 
, en calidad de SOCIO NUMERARIO y se compromete a cumplir los ESTATUTOS  de la misma.
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\par 
\par }\pard \ql \li0\ri0\widctlpar\tldot\tx8222\faauto\adjustright\rin0\lin0\itap0 {\b\f1\fs22 APELLIDOS}{\f1\fs22 \tab 
\par \tab 
\par }{\b\f1\fs22 NOMBRE}{\f1\fs22 \tab 
\par }\pard \ql \li0\ri0\widctlpar\tldot\tx4536\faauto\adjustright\rin0\lin0\itap0 {\b\f1\fs22 D.N.I.}{\f1\fs22 \tab 
\par }\pard \ql \li0\ri0\widctlpar\tldot\tx8222\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 
\par }{\b\f1\fs22 TITULACI\'d3N}{\f1\fs22 \tab 
\par }{\b\f1\fs22 LUGAR DE TRABAJO}{\f1\fs22 \tab 
\par \tab 
\par }\pard \ql \li0\ri0\widctlpar\tx1134\tldot\tx8222\faauto\adjustright\rin0\lin0\itap0 {\b\f1\fs22 \tab Direcci\'f3n Postal}{\f1\fs22 \tab 
\par \tab \tab 
\par \tab }{\b\f1\fs22 Tel\'e9fono}{\f1\fs22 \tab 
\par \tab }{\b\f1\fs22 Fax}{\f1\fs22 \tab 
\par \tab }{\b\f1\fs22 Correo electr\'f3nico}{\f1\fs22 \tab 
\par }\pard \ql \li0\ri0\widctlpar\tldot\tx8222\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 
\par }{\b\f1\fs22 DOMICILIO PARTICULAR}{\f1\fs22 \tab 
\par \tab 
\par }\pard \ql \li0\ri0\widctlpar\tx1134\tldot\tx8222\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 \tab }{\b\f1\fs22 Tel\'e9fono}{\f1\fs22 \tab 
\par }\pard \ql \li0\ri0\widctlpar\tldot\tx8222\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 
\par }{\b\f1\fs22 \'c1REA DE TRABAJO ACTUAL}{\f1\fs22 \tab 
\par \tab 
\par 
\par }{\b\f1\fs22 \'c1REA DE ESPECIALIZACI\'d3N}{\f1\fs22 \tab 
\par \tab 
\par \tab 
\par 
\par }{\b\f1\fs22 CULTIVOS EN QUE TRABAJA}{\f1\fs22 \tab 
\par \tab 
\par 
\par }{\b\f1\fs22 ARTR\'d3PODOS}{\f1\fs22 \tab 
\par \tab 
\par 
\par }{\b\f1\fs22 SERVICIOS QUE ESTAR\'cdA DISPUESTO A PRESTAR}{\f1\fs22 \tab 
\par \tab 
\par \tab 
\par \tab 
\par }\pard \ql \li0\ri0\widctlpar\tx1134\tldot\tx8222\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 \tab }{\b\f1\fs22 Medios con los que cuenta}{\f1\fs22 \tab 
\par \tab \tab 
\par \tab \tab 
\par }\pard \ql \li0\ri0\widctlpar\tldot\tx8222\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 
\par }{\b\f1\fs22 CONDICIONES QUE TIENEN QUE CUMPLIR PARA QUE LOS SERVICIOS SE PUEDAN PRESTAR}{\f1\fs22 \tab 
\par \tab 
\par 
\par }{\b\f1\fs22 \'bfES NECESARIO EL PAGO DE LOS SERVICIOS?}{\f1\fs22 \tab 
\par }\pard \ql \li0\ri0\widctlpar\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 
\par \page 
\par 
\par }\pard \qc \li0\ri0\widctlpar\faauto\adjustright\rin0\lin0\itap0 {\b\f1\fs22 DOMICILIACI\'d3N BANCARIA
\par 
\par }\pard \qj \li0\ri0\widctlpar\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 
\par }\pard \qj \li0\ri0\widctlpar\tldot\tx8222\faauto\adjustright\rin0\lin0\itap0 {\b\f1\fs22 Banco o Caja de Ahorros}{\f1\fs22 \tab 
\par \tab 
\par }{\b\f1\fs22 N\'ba de Cuenta}{\f1\fs22 \tab 
\par }{\b\f1\fs22 Sucursal}{\f1\fs22 \tab 
\par }{\b\f1\fs22 Domicilio Sucursal}{\f1\fs22 \tab 
\par \tab 
\par }{\b\f1\fs22 Poblaci\'f3n}{\f1\fs22 \tab 
\par }{\b\f1\fs22 C.P.}{\f1\fs22 \tab 
\par 
\par }{\b\f1\fs22 Titular de la Cuenta}{\f1\fs22 \tab 
\par \tab 
\par }{\b\f1\fs22 D.N.I.}{\f1\fs22 \tab 
\par }\pard \qj \li0\ri0\widctlpar\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 
\par 
\par Ruego a Vds. se sirvan tomar nota de que, hasta nuevo aviso, deber\'e1n adeudar en mi cuenta con esta entidad los recibos que a mi nombre les sean presentados para su cobro por la }{\b\f1\fs22 Sociedad Espa\'f1ola de Entomolog\'eda Aplicada}{\f1\fs22  (}{
\b\f1\fs22 S.E.E.A}{\f1\fs22 .).
\par 
\par \tab Les saluda atentamente
\par 
\par 
\par 
\par 
\par \tab Fdo.
\par 
\par }\pard \qj \li0\ri0\widctlpar\tldot\tx8222\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 D\tab 
\par }\pard\plain \s15\qj \li0\ri0\widctlpar\tldot\tx8222\faauto\adjustright\rin0\lin0\itap0 \f1\fs22\lang1034\langfe3082\cgrid\langnp1034\langfenp3082 {Domicilio\tab 
\par \tab 
\par }\pard\plain \qj \li0\ri0\widctlpar\tldot\tx8222\faauto\adjustright\rin0\lin0\itap0 \f2\fs20\lang1034\langfe3082\cgrid\langnp1034\langfenp3082 {\f1\fs22 Poblaci\'f3n\tab 
\par }\pard\plain \s15\qj \li0\ri0\widctlpar\tldot\tx8222\faauto\adjustright\rin0\lin0\itap0 \f1\fs22\lang1034\langfe3082\cgrid\langnp1034\langfenp3082 {C.P.\tab 
\par }}