Name/Surname*
|
|
Petr Humpolicek
|
Place of birth
|
|
Prilepy, Czech republic
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Date of birth
|
|
01/08/1981
|
Fiscal Code (Italy or 000000 if foreigner)
|
|
000000
|
Email
|
|
humpolicek@utb.cz
|
FISCAL DATA |
Name/Surname – Company
|
|
Tomas Bata University in Zlin
|
Address
|
|
nám. T. G. Masaryka 5555, 760 01 Zlín, Česká republika Zlín 760 01 Repubblica Ceca Map It
|
VAT n. (only for company or University)
|
|
CZ70883521
|
Fiscal code (Italy of 000000 if foreigner)
|
|
000000
|
Payment
|
|
Carta di Credito
|
Carta di credito
|
|
Visa XXXXXXXXXXXX8645
|
Ordine
|
|
Prodotto |
Quantità |
Prezzo unitario |
Prezzo |
Registration fee (social dinner not included)
|
1 |
590,00 € |
590,00 € |
No
|
1 |
0,00 € |
0,00 € |
|
Subtotale |
590,00 €
|
|
Totale |
590,00 € |
|
|