|
Name/Surname*
|
| |
GARCIA EVA
|
|
Place of birth
|
| |
LYON
|
|
Date of birth
|
| |
17/12/2000
|
|
Fiscal Code (Italy or 000000 if foreigner)
|
| |
000000
|
|
Email
|
| |
alexandra.podgourskaia@insa-lyon.fr
|
| FISCAL DATA |
|
Name/Surname – Company
|
| |
INSA LYON, CNRS, MATEIS
|
|
Address
|
| |
INSA de LYON
7, Ave nue Jean Capelle 69100
Francia
Map It
|
|
VAT n. (only for company or University)
|
| |
FR 40180089013
|
|
Fiscal code (Italy of 000000 if foreigner)
|
| |
000000
|
|
Payment
|
| |
Carta di Credito
|
|
Carta di credito
|
| |
Visa
XXXXXXXXXXXX1956
|
|
Ordine
|
| |
| Prodotto |
Quantità |
Prezzo unitario |
Prezzo |
|
Students (social dinner not included)
|
1 |
350,00 € |
350,00 € |
|
Yes
|
1 |
80,00 € |
80,00 € |
| |
Subtotale |
430,00 €
|
| |
Totale |
430,00 € |
|
|
