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Status * SOCIETYPARTICULAR

Last Name *

First Name *

Zip Code *

City

Telephone Number *

Email Adresse *

Type of piece desired * KeelLong keelBulb onlyBulb with keelBulb with insertNautical ballastSpare ballastLead lingotsLead piecesLead balls

TYPE ON LEAD DESIRED Pure lead2 à 4% Antimony4% Antimony

Approximate mass in kilos

Date of delivery desired

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2 + 4 = ? Please prove that you are human by solving the equation *