VALCAMONICA ROCK ART & ARCHAEOLOGY FIELDWORK

SUMMER 2010
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APPLICATION FORM
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Name.................................................................

Surname............................................................

Sex: F M

Date of birth.....................................................

Place of birth.....................................................

Full address..............,...........................................

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Tel...........................Fax.................................

E-Mail… ………………………………………

Profession.......................................................…

Please note that I am:

 Vegetarian  Omnivore
I cannot eat:
 Milk and milk products

 Eggs and eggs products

 I need a gluten-free diet

I would like to come to:

 Session 1: July 19 – July 26 2010

Session 2: July 26 - August 2 2010

Session 3: August 2 - August 9 2010

 Entire Period: July 19 - August 9 2010

Date........................

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Please mail or e-mail this application form to:
Dr. Angelo Fossati
COOPERATIVA ARCHEOLOGICA “LE ORME DELL’UOMO”
Piazzale Donatori di Sangue, 1
25040 CERVENO (BS) ITALY
Tel. +39.(0)364.433983 mob: +39.333.2875920
email: fossati@numerica.it (or: angelo.fossati@unicatt.it)