Alison Andrews,

Alison Andrews,

Née le {Birth.YMD} à {Birth.Adr.City}, {Birth.Adr.State}, {Birth.Adr.Nation},
de nationalité {Citizen.nationality},
Exerçant la profession de {Work.profession},
Demeurant 1 Broadway, 02142 Cambridge , United States of America,
ci-après dénommée la « {Handle} »,

Alison Andrews

urodzonym dnia {Birth.YMD} w {Birth.Adr.City}, {Birth.Adr.State}, {Birth.Adr.Nation},
posiadającym obywatelstwo {Citizen.nationality},
z wykształcenia {Work.profession},
zamieszkałym pod adresem 1 Broadway, Cambridge, MA 02142, United States of America
zwanym dalej «{Handle}»,

Alison Andrews

("{Handle}")

{xSignature}

Date: {Sign.YMD}
Signed at: Cambridge, Massachusetts, United States of America

Alison Andrews

( « {Handle} » ),

{xSignature}

le : {Sign.YMD}
à : Cambridge, Massachusetts, United States of America

Alison Andrews

("{Handle}")

{xSignature}

Dnia: {Sign.YMD}
Podpisana w: Cambridge, Massachusetts, United States of America