Iscrizioni Corsi Italiano - CRM Associazione Franco Verga

Sei pregato di compilare tutti i campi della domanda (i campi con * sono obbligatori) Please fill all fields of the form (* fields are mandatory)

Cognome | Surname | Family Name*
Nome | Name*
Sesso | Sex*
Paese di provenienza | Country*
Data di nascita | Date of birth*
Telefono | Phone number*
Minore | MInor age*
- Si
- No
Telefono del genitore | Parent's phone number*
Email*
Inserisci email | Enter email Conferma email | Confirm email
Comune di domicilio | Italy residence town*
Fonte Info | Source info
Occupazione | Occupation
Scolarità | Education
Preferenza fascia oraria | Time slot of preference
*
- Dichiaro di aver preso visione dell’Informativa sul Trattamento dei Dati Personali e di accettarne le condizioni (I subscribe the Privacy Policy. attached) *.
- Iscrizione alla newsletter di Fondazione Verga
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