Nataquashop - Club Registration

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Club or community, register by completing the form below

Billing address

Club Name or Community * :

Adress * :

Additional address :

Postal code * :

City * :

Country :

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Delivery address

Civility * :

Name * :

First name * :

Club Name or Community * :

Adress * :

Additional address :

Postal Code * :

City * :

Country :

The club

Name of the responsible structure (Chair) :

Email :

Tél Club :

Fax :

Payment method :

popular activities : sports swimming
synchronized swimming
water polo
triathlon
summer swimming
rescue
other

referent equipment

Last name / First Name * :

Phone. * :

Email * :

confirm your email * :

choose a password * :

Confirm your password * :

I have read and accept the Terms of Sales.
I agree to receive information from Nataquashop.
I agree to receive the best offers partners Nataquashop.

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