Registration Form Omaggio a Firenze Capitale d'Italia e della Cultura Europea

Associazione Culturale Serendipity Art | Via Guelfa, 5 – 40138 Bologna C.F. 91327890371
Registration Form Tribute to Florence Capital of Italy and European Culture
WARNING: Registration is possible only in pairs
Name & Surname

NameSurname
Address

Address

Address Line 2

City Nation/region

Post Code Nation
E-mail
Telephone number
Birthday

DayMonthYear
Ask to attend
second participant name
choice:
TO BOOK

payment by bank transfer concerning the package chosen, reason for payment : Tribute to Florence capital of Italy + Name Surname to: Cultural Association Serendipity Art IBAN IT05R0538702411000002073757 "SWIFT": BPMOIT22 send the bank receipt to: tango@serendipityart.it or fax 178 2701128.

Alternatively reservation at Library Marucelliana Via Camillo Cavour, 43 - 50129 Firenze, Attn:Romoli Sandra (Tel.055/2722212) or Attn: Conti Annamatia (055/2722210) from Monday to Friday from 8:30 to 13:30 and on Mondays and Wednesdays from 14:30 to 17:00. The inscription will be completed upon receipt of payment.
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Registration Form Tribute to Florence Capital of Italy and European Culture