PRIJAVNICA

za včlanitev v Gorniški klub Limberk

Ime in priimek:  _________________________________________________________

Datum in kraj rojstva:  ____________________________________________________

Naslov:  ________________________________________________________________

Telefon:  ________________________                   

GSM:      ________________________

E-mail:   ________________________

Kraj in datum:  __________________________

                                                                                              Podpis:

                                                                                  __________________________