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:
Versamento quota sociale
  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.