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Ordinary Membership
Application for membership in Associazione
TERREDELSUD - 22, PO Street - 00198 Rome -
sponsored by
the National Council of
Doctors of Agronomy and
Doctors of Forestry
The undersigned __________________________________________
Born in ______________ (
) on the ____________
Resident in ___________________________
( ) __
Address __________________________________
Taxpayer’s Code Number _____________________
e-mail address _____________________________,
asks to be enrolled
in the Terredelsud association, whose head office is found in
Via Po,102, -
00198 Rome.
With this request I enclose a non transferable check made out to
association TERREDELSUD, or the receipt of the payment made
through a credit transfer, made out to:
Association TERREDELSUD, for a sum of
€ 50 (Fifty Euro), on the current account 108578 - ABI
05018 – CAB 03200 - of the Banca Etica - Filiale di Roma - via
Rasella, 14 - 00187 –
The curriculum vitae form attached is an integral part of this
application and must be completed
throughout.
I also declare to have read the statute of the association and
undertake to pursue its aims and
objectives.
Signed
__________________________________________
Send to: Terredelsud -
c/o Consiglio Nazionale dei Dottori Agronomi e Dottori Forestali
- via Po, 22 - 00198 - Roma -
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