Sara Tagliavini www.sarata.it

exchange-meeting sugar packets

In Pieve di Cento (BO) Italy
20-21 March 2010 from 10.00 to 17.30 hours.

   
GRAND HOTEL BOLOGNA CENTRO CONGRESSI PALACAVICCHI www.grandhotelbologna.com

Street PONTE NUOVO 42 -44066Pieve di Cento BO Italy

Please fill this FORM

Name......................................... Surname .....................................................

Address..................................................................................................................

City………………………………….State………………………………………

Phone. ................................................E-mail.........................................................

Date of birth.......................................Firm............................................................

With the contribution of € 10,00 to every affiliate an or two Tables of 2 meters to disposition for Saturday and Sunday., buffet (saturday) and series homages.

you want to participate in the supper of Saturday evening (€ 30) Yes □ No □

Are you interested to the stay in the hotel? (double room € 60/65 hotel 1 star/4 star € 80) Yes □ No □

SARA TAGLIAVINI VIA DONATORI 26- 40066 PIEVE DI CENTO (BO) ITALY Fax 0039051975506 TEL. +39051974637 E-MAIL sarata@sarata.it

Following the law 675/96 for private life, all your informations will be only used by Sara Tagliavini for the organisation of the meeting 2009