Name: | Surname: |
Address: | Town/City: |
Post/zZip: | Country: |
Telephone:: | Fax: |
E-mail: | Website: |
Occupation: | National Insurance:
VAT Number: |
__ Spanish | __ French | __ English | __ Italian |
___1 day | ___ 2 days |
Before 20-1-2000 | Before 20-5-2000 | After 20-5-2000 |
___ single room | ___ double room | ___triple room | ___additional perso |
Day: | Time |
Day: | Time: |
lire: | Euros: | Dollars |
__ non-negotiable baker’s draft made payable to CE.RI.UM. | __ money transfer (please enclose
photocopy of receipt) payable to CE.RI.UM.
current account n° 59200030210 c/o Deutsche Bank – Agenzia A – via Tuveri – 09129 Cagliari (Sardinia/Italy) ABI code 03104/CAB code 04802 |
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Copyright:
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