Memberships - Association Roots of Stone


		Association
		Events
		Projects
		Programs
		Press
		Publications
		Photogallery
		Links
		Credits

Memberships - Association Roots of Stone

NB The attribution of the status of member is subject to:
1) Approval by Roots of Stone
2) Payment of the annual fee is currently set at € 50.00 by bank transfer in favor of Association Roots of Stone at Banca Etica iban IT67O0359901899050188528526

REQUEST FOR MEMBERSHIP:

Name*		* Required fields
Last name*
Date of birth*
Place of birth*
Country of birth*
Nationality*
Address*	num. *
CAP*	Place* Province / State *
Phone*
E-mail*
Blog or Profession
Privacy*	Privacy of L. 196/2003 hereby declares to view the data you entered into this form will be used solely to inform you of events and activities of the Roots of Stone and the purpose of registration in the archives of the same. At any time you can edit or delete oppose the use of data by writing to: Roots Cultural Association of Stone Via dei Priori 62-06122 Perugia, or by sending an e-mail at the following address: contatti@radicidipietra.it
	Acceptable Not Accept