Naam Speler	Moyenne	Telefoon nummer	Voorkeur speeldag in de 1e week
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Inschrijf formulier terug sturen voor 17-12-2011 naar;	Bilj. Ver. De Deurstoters	Naam Vereniging	____________________________
	p/a M Martens	Naam contact persoon	____________________________
	Asserstraat 23	Adres	____________________________
	9411 LH Beilen	Postcode + Plaats	____________________________
of; deurstotersbeilen@hotmail.com		Telefoon nummer	____________________________