|
Name/Surname*
|
| |
Amanda de Souza
|
|
Place of birth
|
| |
Brazil
|
|
Date of birth
|
| |
02/04/1991
|
|
Fiscal Code (Italy or 000000 if foreigner)
|
| |
000000
|
|
Email
|
| |
amanda_desouza@outlook.com
|
| FISCAL DATA |
|
Name/Surname – Company
|
| |
UNIFESP
|
|
Address
|
| |
Silva Jardim street, 136
Santos, SP 11015-020
Brasile
Map It
|
|
VAT n. (only for company or University)
|
| |
60453032000417
|
|
Fiscal code (Italy of 000000 if foreigner)
|
| |
000000
|
|
Payment
|
| |
Carta di Credito
|
|
Carta di credito
|
| |
MasterCard
XXXXXXXXXXXX9660
|
|
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 € |
|
|
