italiano MASTER CLASSES

ENROLLMENT FORM ONLINE /

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OBJECT
 
Name and Last Name : *
 
Place and date of Birth : *
 
Address : *
 
Tax ID Number : *
 
Telephone Number : *
 
e-mail : *
 
Enrollment for Master Classes (Violin, Flute, Cello) : *
 
CRO number of the wire transfer for the payment of the entrance fee : *
 
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COMMUNICATION:

I hereby declare that I have paid the entrance fee to the account of ASSOCIAZIONE MUSICA INSIEME C/O CASINI ANNA RITA, via della Liberazione 5, 53027, San Quirico d’Orcia (SI) presso Banca Monte dei paschi di Siena (IBAN: IT 09 F 01030 72020 000000290052), Causale: QUOTA D’ISCRIZIONE - CORSO (name of teacher) - NAME and e SURNAME of participant