|
Name/Surname*
|
| |
Sara Shakibania
|
|
Place of birth
|
| |
Teheran
|
|
Date of birth
|
| |
13/06/1994
|
|
Fiscal Code (Italy or 000000 if foreigner)
|
| |
–
|
|
Email
|
| |
kkrukiewicz@polsl.pl
|
| FISCAL DATA |
|
Name/Surname – Company
|
| |
Politechnika Slaska
|
|
Address
|
| |
Akademicka 2A
Gliwice 44100
Polonia
Map It
|
|
VAT n. (only for company or University)
|
| |
631-020-07-36
|
|
Fiscal code (Italy of 000000 if foreigner)
|
| |
631-020-07-36
|
|
Payment
|
| |
Bonifico Bancario
|
|
Ordine
|
| |
| Prodotto |
Quantità |
Prezzo unitario |
Prezzo |
|
Students (social dinner not included)
|
1 |
300,00 € |
300,00 € |
|
Yes
|
1 |
80,00 € |
80,00 € |
| |
Subtotale |
380,00 €
|
| |
Totale |
380,00 € |
|
|
