ࡱ> OQN$'bjbjI}}8=&n   ;======$6 hai ^   a  ; ;z@ j=)('<& Q@  \       aa:   &              :POLSKIE RADIO OBYWATELSKIE Przedstawiciel Europejskiej Federacji Radia Obywatelskiego ZARZD GAWNY 90-360 Adz ul. Piotrkowska 238  WNIOSEK Imi / Imiona, Nazwisko..................................................................... PESEL............................................. Adres zameldowania..................................................................................................................................... Adres zamieszkania....................................................................................................................................... Wojewdztwo..............................................Powiat.......................................Gmina................................... Telefony kontaktowe................................................................................................................................... Adres e-mail................................................................................................................................................ O[wiadczam, |e podane wy|ej dane s prawdziwe i wyra|am zgod na ich przetwarzanie w zakresie funkcjonowania stowarzyszenia do odwoBania, znane mi s informacje i moje prawa okre[lone w przepisach dotyczcych ochrony danych osobowych. Prosz o zarejestrowanie mnie w stowarzyszeniu i podjcie bezpBatnej interwencji w nastpujcej sprawie: ................................................................................................................................................................................... ................................................................................................................................................................................... ................................................................................................................................................................................... ................................................................................................................................................................................... ................................................................................................................................................................................... ................................................................................................................................................................................... ................................................................................................................................................................................... ................................................................................................................................................................................... ............................................:     & :<Ƕwske^W^@1h-hoCJOJQJaJ,hoh&CJcHdhdhdheGh hlrCJh hKCJh hoCJ hoOJQJhohoB* ph#jhoB* UmHnHphuh<ho56OJQJho56OJQJh=Ihn|6OJQJ!h=Ih=IB* CJ$OJQJph hho5B* CJaJph h=Vho5B* CJ,aJ,ph+jh=Vho5CJ,UaJ,mHnHu:     $ & F H < = g h :`gdKgdo  ^ `gdogdo $d[$a$gdo$a$gdo$a$gdo:<`a45 gdogdo`gdHK dgdo`gdo2 >!"""#&&&&&&&&&&&''"'$'ɿͽͧwi jhZhomHsH jhZhomHsHhomHsHhSvhomHsHh<homHsHhNm\hohNm\CJh h aCJ h#CJU hoCJhHKho hoCJh h-hoCJKHOJQJaJh-hoCJOJQJaJhoCJOJQJaJ"....................................................................................................................................... ................................................................................................................................................................................... (Je|eli sprawa dotyczy niekorzystnej umowy, prosimy o doBczenie do wniosku jej kopii) ............................................... ...................................................... >!?!"""#&&'''' '"'$'$a$gdo`gdogdogd# (miejscowo[ i data) (czytelny podpis) URL: www.plcb.org ( INTERNET ( E-mail: biuro@plcb.org ?0P1:p=V. A!7"7#T$% Dpnϸ4gxe8w&aPNG  IHDR PLTE!cZ!1Z)J99)B9)ZRBs)J1!BB1ֽsRR9Jƽc9c9!9!ޥRRBƜƽkskB)cRcRB)kZRkcZJc{kZJƽs{kZJƔsR!B11{s{ssc{k9J9ތscJ9RBcRcR{{k{{skRB1kssckZƄs)RB֔cJ!B1ZJ)kZkkcB1kZZJք{cR{kscssZRBB1{sB)ބ{kcJ11!cRZBJ1J1֥kc9)sk9){sJ11{{k{kƥ{RB{sc1!B1J9ք{{B)YkbKGDH cmPPJCmp0712Hs8IDATx^]c9nug=q^1$6ަ9wrTR3nn'XR>J%IJ#)F(ĝvm{Y}r;2&ѽnnGd3:&1#2k#`Y^Vb't"_8HH*,۞ᏆOu<2Ѿw_&J?m҃ ȳqT WAO8/K =yM=?9ёhq5cUdid{; ]VS-'N`=״pzn4tGzsiw4:!UB=zKXh^5_s' /@5[q8rr"֦*IerQ>M )-=30 %fwfNmgλM,!ª Տ窸8|ijQ#}gO/"ZCBQf CPRi3ud5n[p-4Iӎm(p!8utk2]g[l^ډxQK.8*~_ƞ-,_ދǾR,1&PF8PmstY&=lVoVJ' 0X[%,0!}vV[ASXR#»"  1}i$ lO;)SQOQH޹ s'O:U]/]rB_߲?B譭P]V K,U5dg՝J?c%sPU>d4# |L|IAb#gLYP(Ubyesdp,*mzHAv/d{ |Mh1/wp¦qM4qi༢Fd~8۶K]!>Ml]):群T5eP oZwX<7[*51G9- ~PCa%3&1&by9`I\ S J,6j{'~t-iEHqey)E!<Qݯp渉tM.x q\a!xs6TaL;vtC9L#m(4dž-^p.#R+$3koح/V1.ͨXZiFh!Qo'! /?i,5,.8 L;z SZEA}'viNef[IrN͍?ys}6Z |(pKNZi8S1` [TD##]#V-H*/hz3L@ޣ+ \Q/[nKyĬ7r.+]lQydp$g-"I;E R65L`aJ{90EjӠZ>#!NbEWˁ3W+*lzZє%]Jkue̙w) ǟ>nVǍt prUlid :KJqŖEiqqQ9dAtN'Y/" M1Iswf,|GĊiQl+^fX&J@fh$y_l:zI7겓%֌|P6º +CdY%O[Xݡ}it8<u߄wfO:d^P ðOG\E_&D~unh <_dtP$k+x,ao[QP28k_7 :0ɠ?6m:gG +/FtрA*8 Af*] s#% 2^9%&A+d3muHm {zMi&!*ݬpfY᳦&)Xef8`|FobOl+*0"x+;Pwux1( = =V"&+^"cXgX?Y%m-+z"6]v)~&Q]l,!CEd~ja3A#'tljʜ r*jjӬhPx>ӊ6D3׼vth` iDDNYD]6炂Wx/DQ1'pO( JОXiJ# 0-aP qy*0<6 'BTW)tuX5~;$YHap-8s4,v |Ѩ!i"f?ۤ pL`4F#2qx'ʳrFdyT^Pd¦dREKSi/; j_.Z{btq? [~ܙri #Ѵ,7ۆXW,'OyP\&_`RB@!laJ~Œ; (6c'& 9Ń(l! %t|# <#"9=CtVa&ֱ9I KV 0{AҝG_$ABSu#.19TcS0#"xaQUO@C.3˻BDr_҉$ VCc\ŧ CHA.|gBIZr W?LS BXTXW鍢. wòF뷮T+QφeV!GeT۳c4r#\9].{ @ײ&hiM Nk RHigzwoC1sN,ͽ&?S{+nZ7ik|1%.==[o<:ۏ9l@Fkg %g=P k1WH1XkL/F(~ [y %7Q jp rN} %Y:0n)F*tG ]o)!]x xXyJΡ40t9Zv#lk4GXkS:5֤1;.:^o֍£v3}cXaᰧv9e[v*'%$$$$$$$ezaIENDB`n~,N@?KaTBPNG  IHDRddG/@<HD<QęSeo\aP!! .J 4$A|1aM$eDB!ÙӅ q'j>`A! U̻ y[Cwtufp!O1BBcԸ]pl@zQJn`I)"H:.e2$+đ{YJX $R4]IY߇ds!T99A@H׀w gڿp fW $ cVs܌׋*thnjNc*H] RMm @`t;>cv f:č ;m 'ۄH=3pC(,U) ۪2GB (ll>#CM_!xyß~qK#MƐ 9氋Cg6 IF%MZH)i ߔȱ gp H$D2j%8ZI!!%:!!P U[ًbgZ !++AX!]KQ[ye  \23"{vݥs˾(%^5ĭ)١[HJH_qdq(a E~>,SCu8KpjI 2c^.nD>>F yC:mHJ?qe7d2GD߱-M®׫ ~8sַA̻'-6wӵMwte23iQcib,Rxy hzK?kN&6 Ds6^2xľB睞L@kM,IY-nBͫ3P{(zUə1Ț>P:v-ॎio(銿oz?.%V _d4 żѤ !V?́IENDB`^ 666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmHnHsHtH<`< Normalny_HmHsHtHLL  NagBwek 1$@&`CJhtHu^^  NagBwek 2$<@& 56CJOJQJ\]^JaJX@X  NagBwek 3$<@&5CJOJQJ\^JaJD@D  NagBwek 7 <@&CJaJJA`J Domy[lna czcionka akapituTiT  Standardowy :V 44 la ,k , Bez listy VOV Wiersz uwag$da$KHOJQJtHuDK@D Zwrot grzeczno[ciowyfC@f Tekst podstawowy wcity$`a$CJhtHu4>@"4 TytuB$a$5CJ@B2@ =V0Tekst podstawowyxBAB =V0Tekst podstawowy ZnakPK![Content_Types].xmlj0Eжr(΢Iw},-j4 wP-t#bΙ{UTU^hd}㨫)*1P' ^W0)T9<l#$yi};~@(Hu* Dנz/0ǰ $ X3aZ,D0j~3߶b~i>3\`?/[G\!-Rk.sԻ..a濭?PK!֧6 _rels/.relsj0 }Q%v/C/}(h"O = C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_6LR7`0̞O,En7Lib/SeеPK!kytheme/theme/themeManager.xml M @}w7c(EbˮCAǠҟ7՛K Y, e.|,H,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+& 8PK!RY7mtheme/theme/theme1.xmlYMoE#F{oc'vGuرHF[x=ޝzvg53NjHH8PTj%.H 3kT\}yg CDHfP\ IC>i n$N4)߻UL>JeKK2e,/nEހbFZ͹ #ζKk_9 adZĈꔔK=.xMfdC6Nb-켱K\X" T30P's~Stу>G%M.O"Mry8E?ԥL#SCߜbGӣE|Eʀ'<{(Z"y'N<.Ev,I A6Nv&t"-=1c8U8")QHcBJK] .H0-uIlm2-fjqVf9P('suXmd)̪eY(G]Y䀰zoP nI xy "=kk|l1Q~6M%7_ǬZQ yٿ jmZx^(Q\gQ>BANT~jCoEA3d]dm2iVֵ褽Vl<s,>gÙ/ΫŋtvavDWCd(, ~{-0%M2&a: _PK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 +_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!RY7mtheme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] 9:;<v9:;<?v ($' : $'  ?b$EPMGFEGc-b$ϸ4gxe8w&aA(b$,N@?KaTBA@z(  b  C "? f  C "A ECBF#" `?j  C &Aimage4#" `?B S  ?vtT$">*T3#Bt8[_w  /8wXw T U 8w7889pqqtw /Z o=I=VYpWNm\n|#I=-plrHK aK8:@aapaad v`` `@``$@`@@`"`&UnknownPL01G*Ax Times New Roman5Symbol3. *Cx Arial;Wingdings9GaramondA$BCambria Math"q0l0l׃f0 0 $7Td24d11 3qHX?2!xxDoKrajowy Sztab RatownictwaPL01Oh+'0  0 < H T`hpxDoKrajowy Sztab Ratownictwa Normal.dotmPL018Microsoft Office Word@2~@zy?@@4;0 ՜.+,0 hp  SKSR1 Do Tytu  !"#$&'()*+,./0123456789:;<=?@ABCDEGHIJKLMPRoot Entry F{=RData %1Table- WordDocumentISummaryInformation(>DocumentSummaryInformation8FCompObj  F0Dokument programu Microsoft Office Word 972003 MSWordDocWord.Document.89q