| 

Thank you for visiting our website!

If you wish to enrol to one of our COURSES or if you wish further information, please PRINT this form, FILL it IN ( please write in BLOCK LETTERS ) and SEND it per fax or per email to info@eventoneonline.com



First Name________________________________________________________

Last Name ____________________________________________________

Company name [if necessary]________________________________________


Address ______________________________________________________

City_________________________ Zip code Postale _______________

Country_____________________ Tel. Code_____________

Tel.________________________ Fax________________________

E-mail _______________________________________________________



1) ARRIVAL DATE ___________________________________

2) DEPARTURE DATE _________________________________



NAME OF THE SELECTED COURSE:

_________________________________________________



* Ask for further information ______________________________

___________________________________________________________

IMPORTANT !

To be sure of the availabilty of the chosen course in the period indicated, please send a PAYMENT ON ACCOUNT through CREDIT CARD:


Type: VISA ; MASTERCARD ;


CREDIT CARD NUMBER: n. _____________________________


EXPIRE: ___ / ___ (month/year)


NAME ____________________ SURNAME ________________________


Amount of account payment: 40% advance, per person

Signature ____________________________



Up