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Desejo fazer uma assinatura anual da Revista Paint & Pintura, no valor de R$ 107,00.

Nome: __________________________________________________________________________________________

Cargo: ________________________________________________ CPF: _____________________________________

Empresa: ______________________________________________ Ramo de atividade:_________________________

Endereço:________________________________________________________________________________________

Cidade: _______________________________________ Estado: _________________ CEP: ____________________

Fone:__________________________ Fax:___________________ e-mail: ____________________________________

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