To request Union for payment through PAY PAL

  

Favor to fill this form correctly and not to leave to inform its email address correctly,therefore, it will be its Name of User (login for access to the web site).
Name:  
Email Address:  
Password for access: (you choose. Exp.: A2Xcc23)
Country:  
To select the plan:  Report the value U$
 
Support: Tel/Fax: 55 (71) 3240-9696
Cel:55 (71) 8219-6899
E-mail: comercial@casalclub.com.br