|
Name/Surname*
|
| |
Chiara Pasini
|
|
Place of birth
|
| |
Gavardo
|
|
Date of birth
|
| |
02/06/1996
|
|
Fiscal Code (Italy or 000000 if foreigner)
|
| |
PSNCHR96H42D940D
|
|
Email
|
| |
chiara.pasini1@unibs.it
|
| FISCAL DATA |
|
Name/Surname – Company
|
| |
Chiara Pasini
|
|
Address
|
| |
via Cavour 6
Salò 25087
Italia
Map It
|
|
VAT n. (only for company or University)
|
| |
000
|
|
Fiscal code (Italy of 000000 if foreigner)
|
| |
PSNCHR96H42D940D
|
|
Payment
|
| |
Carta di Credito
|
|
Carta di credito
|
| |
Visa
XXXXXXXXXXXX8907
|
|
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 € |
|
|
