Membership Form
Please fill in all fields
Name and surname
Birthplace
Birthdate
Address
City
Zip code
Telephone
Fax
E-mail
Repeat e-mail
I would be admitted as:
Quota annuale 2014 per Socio Ordinario (Euro 60/year)
Versamento quota sociale
Bank transfer
In cash at head office
On-line payment with Paypal
I declare that I have read the
Statute of the Association
and to share and accept the contents
I declare that I have read the
privacy statement
and give consent for the use of personal information for the activities described in the same.