Date FERMETURE des INSCRIPTIONS le 07/06/2026

Type de brocanteur *

Nom / Last name *

Prénom / first name *

Adresse / Address *

Code Postal / Zip code *

Ville / City *

Adresse mail / Email *

N° Carte identité ou passeport * Identity card or passport number *

Téléphone / Phone

Mode réglement *

Numéro de Chèque / Check number

Nbre d'emplacements / nber of places x € = Euros

Message (250 caractères maxi)

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