“GLOBAL 2012” CONTEST SUBSCRIPTION FORM

(one for each candidate) Send to: concorsoglobal2012@yahoo.it Scan and good quality photo allowed Personal data First Name Address Province Born in Personal code Contest’s category Only for School Category School Name address Teacher's Name Last Name Postcode State Born on

I read contest rules, available at www.global2012.org, and accept them all.
PLACE __________________________ DATE_____/_____/2012

SIGNATURE ___________________________________________

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