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<td> <p class="titulo">Further Information</p>
<span class="negrita"></span><a href="http://www.ua.es/es/estudios/seus/alacant/index.html"><span class="negrita">SEDE CIUDAD DE ALICANTE</span></a><br>Ciudad
de Alicante University Venue<br>Telephone 965 14 59 81 - 965 14
59 79<br>Fax 965 90 59 89<br>Avda. Ramón y
Cajal, 4<br>030001 - Alacant<br>e-mail: <a href="mailto:Seu.alacant@ua.es">Seu.alacant@ua.es</a><br><a href="http://www.ua.es/en/upua">http://www.ua.es/en/upua</a>
<div style="text-align: center;"><br> <img style="width: 290px; height: 264px;" alt="Foto Sede Alicante" src="img/sedeAlicante.jpg"><br> </div> <br>
<a href="http://www.ua.es/upua"><span class="negrita">PERMANENT
UNIVERSITY</span></a><br>Permanent University's
Secretary. Ciudad de Alicante University Venue.<br>
C/ Ramón y Cajal nº 4- 1º Floor
. <br>
Phone: 96514 59 81<br>
E-mail - <a href="mailto:upua.sede@ua.es">upua.sede@ua.es</a><br>
<br>If you wish to take part in this initiative, as volunteer,
please get directly in touch with the <a href="mailto:upua.sede@ua.es">Secretariat of UPUA, at the
Ciudad de Alicante University Venue</a>, 1st floor, and provide
the following personal information or send it by this form:<br> <br><br>
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<form method="post" action="http://www.proyectosupua.es/mail/lanzaMails.php">
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Name and surname:</th><td align="center"><input name="nombre" size="50" type="text"></td>
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<th>Address:</th><td align="center"><input name="direccion" size="50" type="text"></td>
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<th>Town:</th><td align="center"><input name="poblacion" size="50" type="text"></td>
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<th>E-mail:</th><td align="center"><input name="email" size="50" type="text"></td>
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Telephone No:</th><td align="center"><input name="telf" size="50" type="text"></td>
</tr>
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<th colspan="2" align="center">I would like to participate in the Bookcrossing project as a:</th>
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<td colspan="2" align="center"><input name="rol" value="Colaborador" type="radio"> Volunteer</td>
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<td colspan="2" align="center"><input name="rol" value="Coordinador" type="radio"> Other venues coordinator</td>
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<td colspan="2"> </td>
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<th>Verification Code:(Fill in ONLY the black characters)</th>
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<img src="http://www.proyectosupua.es/mail/captcha.php" alt="Imagen Captcha">
<input name="captcha" size="3" maxlength="3" type="text">
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<input name="asunto" value="BOOKCROSSING" type="hidden">
<input value="Send Information" type="submit"></td>
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Sindbad File Manager Version 1.0, Coded By Sindbad EG ~ The Terrorists