251 lines
5.1 KiB
Cheetah
251 lines
5.1 KiB
Cheetah
<TMPL_INCLUDE Name="members-top.inc">
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<TMPL_IF Name="OK">
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<H1> Potwierd¼ Wpis </H1>
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<table border=0 cellspacing=0 cellpadding=5>
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<tr valign=top bgcolor="<TMPL_VAR Name="main">" >
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<td colspan=2 background="<TMPL_VAR name="themelang">/images/background-mem.gif">
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<B> NOWY CZ£ONEK </B>
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</td>
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</tr>
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<tr valign=top bgcolor="white" >
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<td>
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<B>Nazwisko</B>
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</td>
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<td>
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<TMPL_VAR Name="name">
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</td>
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</tr>
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<tr valign=top bgcolor="<TMPL_VAR Name="main">" >
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<td colspan=2 background="<TMPL_VAR name="themelang">/images/background-mem.gif">
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<B> SZCZEGÓ£Y CZ£ONKOWSKIE </B>
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</td>
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</tr>
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<tr valign=top bgcolor="white" >
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<td>
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<B>Numer czytelnika</B>
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</td>
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<td>
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<TMPL_VAR Name="bornum">
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</td>
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</tr>
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<tr valign=top bgcolor="white" >
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<td>
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<B>Numer Karty</B>
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</td>
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<td>
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<TMPL_VAR Name="cardnum">
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</td>
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</tr>
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<tr valign=top bgcolor="white" >
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<td>
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<B>Kategoria cz³onkowstwa</B>
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</td>
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<td>
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<TMPL_VAR Name="memcat">
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</td>
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</tr>
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<tr valign=top bgcolor="white" >
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<td>
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<B>Op³ata</B>
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</td>
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<td>
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<TMPL_VAR Name="fee">
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</td>
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</tr>
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<tr valign=top bgcolor="white" >
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<td>
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<B>Data zapisu</B>
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</td>
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<td>
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<TMPL_VAR Name="joindate">
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</td>
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</tr>
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<tr valign=top bgcolor="white" >
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<td>
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<B>Termin wyga¶niêcia</B>
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</td>
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<td>
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<TMPL_VAR Name="expdate">
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</td>
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</tr>
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<tr valign=top bgcolor="white" >
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<td>
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<B>Oddzia³ zapisu</B>
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</td>
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<td>
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<TMPL_VAR Name="branchcode">
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</td>
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</tr>
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<tr valign=top bgcolor="<TMPL_VAR Name="main">" >
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<td colspan=2 background="<TMPL_VAR name="themelang">/images/background-mem.gif">
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<B>DANE PERSONALNE</B>
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</td>
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</tr>
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<tr valign=top bgcolor="white" >
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<td>
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<B>Data urodzenia</B>
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</td>
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<td>
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<TMPL_VAR Name="dob">
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</td>
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</tr>
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<tr valign=top bgcolor="white" >
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<td>
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<B>P³eæ</B>
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</td>
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<td>
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<TMPL_VAR Name="sex">
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</td>
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</tr>
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<tr valign=top bgcolor="<TMPL_VAR Name="main">" >
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<td colspan=2 background="<TMPL_VAR name="themelang">/images/background-mem.gif">
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<B>ADRES CZYTELNIKA</B>
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</td>
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</tr>
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<tr valign=top bgcolor="white" >
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<td>
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<B>Adres pocztowy</B>
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</td>
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<td>
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<TMPL_VAR Name="postal">
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</td>
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</tr>
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<tr valign=top bgcolor="white" >
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<td>
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<B>Adres domowy</B>
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</td>
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<td>
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<TMPL_VAR Name="home">
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</td>
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</tr>
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<tr valign=top bgcolor="<TMPL_VAR Name="main">" >
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<td colspan=2 background="<TMPL_VAR name="themelang">/images/background-mem.gif">
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<B>DANE OSOBY KONTAKTOWEJ</B>
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</td>
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</tr>
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<tr valign=top bgcolor="white" >
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<td>
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<B>Tel. (Domowy)</B>
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</td>
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<td>
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<TMPL_VAR Name="phone">
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</td>
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</tr>
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<tr valign=top bgcolor="white" >
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<td>
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<B>Tel. (W pracy)</B>
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</td>
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<td>
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<TMPL_VAR Name="phoneday">
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</td>
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</tr>
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<tr valign=top bgcolor="white" >
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<td>
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<B>Fax</B>
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</td>
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<td>
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<TMPL_VAR Name="faxnumber">
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</td>
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</tr>
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<tr valign=top bgcolor="white" >
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<td>
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<B>E-mail</B>
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</td>
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<td>
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<TMPL_VAR Name="emailaddress">
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</td>
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</tr>
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<tr valign=top bgcolor="white" >
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<td>
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<B>Text messaging</B>
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</td>
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<td>
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<TMPL_VAR NAME=textmessaging>
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</td>
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</tr>
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<tr valign=top bgcolor="<TMPL_VAR Name="main">" >
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<td colspan=2 background="<TMPL_VAR name="themelang">/images/background-mem.gif">
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<B>ALTERNATYWNE DANE OSOBY KONTAKTOWEJ</B>
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</td>
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</tr>
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<tr valign=top bgcolor="white" >
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<td>
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<B>Nazwisko</B>
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</td>
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<td>
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<TMPL_VAR Name="contactname">
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</td>
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</tr>
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<tr valign=top bgcolor="white" >
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<td>
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<B>Tel.</B>
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</td>
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<td>
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<TMPL_VAR Name="altphone">
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</td>
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</tr>
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<tr valign=top bgcolor="white" >
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<td>
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<B>Pokrewieñstwo</B>
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</td>
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<td>
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<TMPL_VAR Name="altrelationship">
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</td>
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</tr>
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<tr valign=top bgcolor="white" >
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<td>
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<B>Uwagi</B>
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</td>
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<td>
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<TMPL_VAR Name="altnotes">
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</td>
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</tr>
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<tr valign=top bgcolor="<TMPL_VAR Name="main">" >
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<td colspan=2 background="<TMPL_VAR name="themelang">/images/background-mem.gif">
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<B>NOTATKI</B>
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</td>
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</tr>
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<tr valign=top bgcolor="white" >
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<td>
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<B>Uwagi ogólne</B>
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</td>
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<td>
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<TMPL_VAR Name="bornotes">
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</td>
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</tr>
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</TABLE><p>
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<form action="/cgi-bin/koha/insertdata.pl" method=post>
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<TMPL_LOOP NAME=inputsloop>
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<input type=hidden name="<TMPL_VAR NAME="key">" value="<TMPL_VAR NAME="value">">
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</TMPL_LOOP>
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<input type=submit name=submit value=Prze¶lij>
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</form>
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<TMPL_ELSE>
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<h1>B£¡D</H1>
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<p>Nastêpuj±ce pola s± ¼le wype³nione. Wróæ do poprzedniej strony i spróbuj raz jeszcze: </p>
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<TMPL_IF name="cardnumber">
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Cardnumber<br/>
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</TMPL_IF>
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<TMPL_IF name="invalid_cardnumber">
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Invalid_cardnumber<br/>
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</TMPL_IF>
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<TMPL_IF name="gender">
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Gender<br/>
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</TMPL_IF>
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<TMPL_IF name="firstname">
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Given Names<br/>
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</TMPL_IF>
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<TMPL_IF name="surname">
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Surname<br/>
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</TMPL_IF>
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<TMPL_IF name="address">
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Postal Street Address<br/>
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</TMPL_IF>
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<TMPL_IF name="city">
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Postal city<br/>
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</TMPL_IF>
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</TMPL_IF>
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<TMPL_INCLUDE Name="members-bottom.inc">
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