|
Name/Surname*
|
| |
Ana Claudia Renno
|
|
Place of birth
|
| |
Brasil
|
|
Date of birth
|
| |
12/07/2024
|
|
Fiscal Code (Italy or 000000 if foreigner)
|
| |
55
|
|
Email
|
| |
acmr_ft@yahoo.com.br
|
| FISCAL DATA |
|
Name/Surname – Company
|
| |
Renno Unifesp
|
|
Address
|
| |
Rua Coronel Joaquim Montenegro 371
Santos 11035003
Map It
|
|
VAT n. (only for company or University)
|
| |
2354
|
|
Fiscal code (Italy of 000000 if foreigner)
|
| |
1234
|
|
Payment
|
| |
Carta di Credito
|
|
Carta di credito
|
| |
Visa
XXXXXXXXXXXX8205
|
|
Ordine
|
| |
| Prodotto |
Quantità |
Prezzo unitario |
Prezzo |
|
Registration fee (social dinner not included)
|
1 |
490,00 € |
490,00 € |
|
No
|
1 |
0,00 € |
0,00 € |
| |
Subtotale |
490,00 €
|
| |
Totale |
490,00 € |
|
|
