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Cœur du Hainaut crossroads network
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Sponsorship network of crossroads in Cœur du Hainaut
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Membership/registration form
Surname
*
First name
*
Postal address
*
Postal code
*
Locality
*
Telephone number
*
Email address
*
Municipality/town desired for carrying out the tests on the crossroads network/Mons Region
Boussu
Colfontaine
Dour
Frameries
Hensies
Honnelles
Jurbise
Lens
Mons
Quaregnon
Quévy
Quiévrain
Saint-Ghislain
Municipality/town desired for carrying out the tests on the crossroads network/Centre Region
Binche
Braine-le-Comte
Chapelle-Lez-Herlaimont
Ecaussinnes
Estinnes
La Louvière
Le Roeulx
Manage
Morlanwelz
Seneffe
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Number of kilometres requested
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