MEMBERSHIP FORM TO JOIN THE SILVIA SANDANO ASSOCIATION Italiano

 

SURNAME
NAME
DATE OF BIRTH
TAX CODE
PLACE OF BIRTH
NUMBER
POSTCODE

Studio/Office

NUMBER
POSTCODE

 

Telephone
Alternative Telephone/Fax
E-mail Address

With this subscription I authorise the Silvia Sandano Association to handle my personal data in compliance with the privacy law 196/03.

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