Modulo iscrizione inglese | AV Eventi e Formazione srl

MODULO ISCRIZIONE PAGAMENTO INGLESE

First Name *

Last Name *

Fiscal Code *

Birth place *

Birth date *

Residence place *

Street / Road / Avenue / Square and number *

Province / State / Nation *

Postal Code *

Main Phone *

Mobile Phone *

E-mail *

Profession *

Specialization *

Professional status *

Course / Congress / Event name *

Course start date *

Course end date *

Payment in € *

CRO Number *

Invoice holder *

Street / Road / Avenue / Square / ecc., number *

City, Postal Code *

Country, State *

VAT Number / Fiscal Code *

Recipient code / PEC *

Treatment of personal data *

I accept the contents of the Privacy Policy

Regulation *

I accept the terms of service shown in the Regulation below