Professional Documents
Culture Documents
Scheda di iscrizione
[ ] 24 HIC
[ ] 2,4 Ore
Nome: ______________________________________
Cognome: ___________________________________
Eventuale pseudonimo o nome d'arte: ______________________________________
Data di nascita: _______________
Indirizzo: __________________________________________
Telefono: ____________________
Fax: __________________
Cellulare: ___________________
e-mail: ____________________________
Blog: ___________________________
BIOGRAFIA / curriculum
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Pubblicazioni:
________________________________________________________________________________
________________________________________________________________________________
Altro:
________________________________________________________________________________
________________________________________________________________________________
Eventuali intolleranze o regimi alimentari particolari: __________________________
________________________________________________________________________________