Please, print and send this document:
The undersigned (name and surname) |
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Place of birth |
Date |
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Residence |
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Address |
n. |
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Tel |
Fax |
Nationality |
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Title of study |
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Date |
Signature (in full) |
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Asks to partecipate in the I.A.P.N.O.R. association as:
 Active Fellow
Enclosures: |
1) A certified copy of the title of study
2) Copy of a Bank transfer order or of a Bank cheque to I.A.P.N.O.R. for
€ 80,00 |
Associated Fellow
Enclosures: |
1) A certified copy of the title of study
2) Copy of a Bank transfer order or of a Bank cheque to I.A.P.N.O.R. for
€ 80,00 |
Send the entry form, the documents concerning the payment, the enclosures and letter of
bank account request by registered with advice of receipt or via Fax to the following
address:
I.A.P.N.O.R. General Secretary
Via Montello, 10
63039 San Benedetto del Tronto (AP) - Italy
Fax (0735) 781521 Tel. (0735) 781520
For the bank operations, please use the clauses as suggested:
CARISAP - Cassa di Risparmio
di Ascoli Piceno Spa
Sede centrale - Corso Mazzini, 190
63100 Ascoli Piceno
COD. IBAN: IT50
M060 8013 5010 000000018711
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