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Date de naissance (required)

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pour la carte de membre

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avec les rôles principaux joués, le nom des metteurs en scène ou réalisateurs ainsi que des théâtres ou productions cinématographiques, lyriques, musicales ou chorégraphiques

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Un membre de l'Union depuis un an au moins certifiant de la qualité professionelle du candidat.

Je certifie par la présente que les informations ci-jointes sont exactes et actuelles.

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En sollicitant mon admission à l\'Union des Artistes en qualité de membre effectif, je m\'engage à payer ma cotisation au début de chaque année (sur cpte BE57 0000 2071 3035 et à me conformer aux statuts qui régissent l\'association.

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Cine-TV Details

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détails complémentaires que vous aimeriez faire connaître

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pour le fichier et autres utilisation nécéssitant une photo de haute qualité