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Name of event:  Rehabilitace u dětí s DMO-rodiče
Account number:  931761/0710
Variable symbol:  114212
Amount:  0 CZK  (Fixed amount)
Payment by card:  Yes
Validity:  14.07.2017 - 13.10.2017
Participant - email:   (*)
Participant - name:   (*)
Participant - surname:   (*)
Participant - town/city:   (*)
(*) - Required field.