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: 1. ________________________________________________________________ 2. ________________________________________________________________ 3. ________________________________________________________________ 4. ________________________________________________________________ 5. ________________________________________________________________ 6. ________________________________________________________________ 7. ________________________________________________________________ 8. ________________________________________________________________ 9. ________________________________________________________________ 10. ________________________________________________________________ 11. ________________________________________________________________ 12. ________________________________________________________________ 13. ________________________________________________________________ 14. ________________________________________________________________ 15. ________________________________________________________________ Rua 28, L. 12, Q. A-8, Jardim Goiás, Goiânia-Goiás, CEP 74.805-310 Tel. (62) 3229-1664