III Copa de Futebol Society dos Servidores Públicos do Estado de Goiás
Órgão Representado: ___________________________________________________
Cidade: _______________________________________________________________
Representante do Time
Nome: _______________________________________________________________
Telefone: _____________________________________________________________
e-mail: ________________________________________________________________
Componentes do Time:
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2. ________________________________________________________________
3. ________________________________________________________________
4. ________________________________________________________________
5. ________________________________________________________________
6. ________________________________________________________________
7. ________________________________________________________________
8. ________________________________________________________________
9. ________________________________________________________________
10. ________________________________________________________________
11. ________________________________________________________________
12. ________________________________________________________________
13. ________________________________________________________________
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15. ________________________________________________________________
Rua 28, L. 12, Q. A-8, Jardim Goiás, Goiânia-Goiás, CEP 74.805-310
Tel. (62) 3229-1664
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Ficha de Inscrição Copa dos Servidores