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            <p class="titulo">Mes Informaci&oacute;</p>






            <span class="negrita">Seu Ciutat d'Alacant</span><br>

Tel. 965 14 59 81 &oacute; 965 14 59 79<br>

Fax 965 90 59 89<br>

Av. Ram&oacute;n i Cajal, 4<br>

030001 - Alacant<br>

e-mail: <a href="mailto:upua.sede@ua.es">upua.sede@ua.es</a><br>

            <a href="http://www.ua.es/upua">http://www.ua.es/upua</a><br>

            <br>Si
est&agrave; vost&eacute; interessat/da a participar en esta iniciativa,
en qualitat de tutor o d'alumne, preguem contacte amb el CLUB EUCONET,
en la Seu Ciutat d'Alacant, 1a Planta i facilite les seg&uuml;ents
dades del formulari:<br><br>Nom i cognoms:<br>Direcci&oacute;:<br>Poblaci&oacute;:<br>E-mail:<br>Tel&egrave;fon:<br><br>Estic interessat a participar en la iniciativa <span class="negrita">CONVERSES EN LA SEU</span> com:<br>

            <br>

            <input name="rol" type="checkbox">&nbsp;TUTOR D'IDIOMA ANGL&Eacute;S<br>

            <br>

            <input name="rol" type="checkbox">&nbsp;TUTOR D'IDIOMA FRANC&Eacute;S<br>

            <br>

            <input name="rol" type="checkbox">&nbsp;ALUMNO DEL PROJECTE DE FORMACI&Oacute; ANGL&Eacute;S<br>

            <br>

            <input name="rol" type="checkbox">&nbsp;ALUMNO DEL PROJECTE DE FORMACI&Oacute; ANGL&Eacute;S<br>










           
            
            
            
            
            
            
            
            
            
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