Name/Surname*
|
|
Rafael Francisco SANTOS
|
Place of birth
|
|
Bauru SP Brasil
|
Date of birth
|
|
23/07/1991
|
Fiscal Code (Italy or 000000 if foreigner)
|
|
000000
|
Email
|
|
rfo.santos@unesp.br
|
FISCAL DATA |
Name/Surname – Company
|
|
rafael francisco de oliveira santos
|
Address
|
|
jose justino de carvalho Ourinhos, SP 19901-56 Map It
|
VAT n. (only for company or University)
|
|
UNESP
|
Fiscal code (Italy of 000000 if foreigner)
|
|
000000
|
Payment
|
|
Carta di Credito
|
Carta di credito
|
|
MasterCard XXXXXXXXXXXX4139
|
Ordine
|
|
Prodotto |
Quantità |
Prezzo unitario |
Prezzo |
Students (social dinner not included)
|
1 |
350,00 € |
350,00 € |
Yes
|
1 |
80,00 € |
80,00 € |
|
Subtotale |
430,00 €
|
|
Totale |
430,00 € |
|