|
Name/Surname*
|
| |
HORIA OCTAVIAN MANOLEA
|
|
Place of birth
|
| |
ROMANIA
|
|
Date of birth
|
| |
02/01/1977
|
|
Fiscal Code (Italy or 000000 if foreigner)
|
| |
1770102163197
|
|
Email
|
| |
horia.manolea@umfcv.ro
|
| FISCAL DATA |
|
Name/Surname – Company
|
| |
CENTRUL MEDICAL OM SRL
|
|
Address
|
| |
str Brazda lui Novac nr 5
Craiova, Dolj 200361
Romania
Map It
|
|
VAT n. (only for company or University)
|
| |
14091807
|
|
Fiscal code (Italy of 000000 if foreigner)
|
| |
14091807
|
|
Payment
|
| |
Carta di Credito
|
|
Ordine
|
| |
| Prodotto |
Quantità |
Prezzo unitario |
Prezzo |
|
Registration fee (social dinner not included)
|
1 |
490,00 € |
490,00 € |
|
Yes
|
1 |
80,00 € |
80,00 € |
| |
Subtotale |
570,00 €
|
| |
Totale |
570,00 € |
|
|
