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innmelding<br />
Navn: .............................................................................................................................<br />
Postadresse: ..................................................................................................................<br />
Postnummer: ........................ Sted: ..............................................................................<br />
Fødselsdato: .............................. Personnummer: .......................................................<br />
Telefonnummer: .......................... Mobiltelefonnummer: .........................................<br />
e-mail: ...........................................................................................................................<br />
Skipets navn: .................................................................................................................<br />
Rederiets navn: .............................................................................................................<br />
Stilling om bord: ...........................................................................................................<br />
Sted: ...................... Dato: ........................ Underskrift: .............................................<br />
Innmelding i hengjold til Seilende Oljearbeideres Forenings vedtekter.<br />
Innmelding og fullmakt sendes snarest til<br />
Seilende Oljearbeideres Forening<br />
Slottsgt. 1<br />
5003 BERGEN<br />
Faks: 55 96 23 83<br />
FULLMAKT<br />
Jeg .............................................................. medlem nr. ............................<br />
i ........................................................ Fornbund,<br />
gir herved Seilende Oljearbeideres Forening<br />
fullmakt til å melde meg ut av ovennevnte <strong>for</strong>bund.<br />
Sted: ....................... Dato: ........................ Underskrift: .............................................<br />
DRÅPEN 3/02 27