
Sara Tagliavini
www.sarata.itexchange-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............................................................
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