4^ Edition international exchange-meeting sugar packets
In Pieve di Cento (BO) Italy
Street PONTE NUOVO 42 -44066Pieve di Cento BO Italy
Please fill this
FORMName......................................... Surname .............................................................
Address..................................................................................................................
City ..................State ............................ .....
Phone. ..........................................E-mail..............................................................
Date of birth.................................. .Firm.............................................................
Cost table of 80 cm. for exposition 10,00 in the Grand Hotel and series gift.
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
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