Analisi Elementare del Lancio - Roma - 14 Aprile 2012

"Basic of the Throwing Motion Congress" subscribing form

Congress registration will be considered valid only after receipt of this form duly filled out, within April 6th, 2012 - together with a copy of the receipt for payment of the registration fee of 25,00€ (plus VAT 21%)
Bank transfer registered to: "Fisiosurgery" - Unicredit Banca di Roma-drawing account nr. 400223877- c/o C.T.O. -Via S. Nemesio 21-Rome (RM)
IBAN: IT 93 Y 02008 05333 00040 0223877 - BIC Swift Code: UNICRITM1056
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Yes, I want sign in the Congress
If the receipt for payment is in your computer, browse your files and enclose it using the "browse button". Otherwise send it by fax to nr. (+39) 06 83 39 99 25


* I allow the italian laws (art. 9 DLGS 196/2003) concerning the authorization for processing personal data (write "YES")