Personfakta för arvode:

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Repetitionsdatum

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Ditt namn (obligatorisk)

Ditt personnummer (obligatorisk)

Din epost (obligatorisk)

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Nedanstående fylls i av orkesterföreningen:

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Arvode:
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Resekostnad:
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Annan kostnad:
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Summa:
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Attest:
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Attestdatum:
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