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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

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