Column of Liberation 2011

Colonne de la Libertè 2011

Marchio-Colonna-libertà-col3

Event Subscription

Please, fill one Event Subscription Form for each participant.
SVP, entrez ci-dessous les  informations pour chaque participant

The registration fee could be paid through Postal Money order or Bank Transfer:
Le paiement de l'inscription est à verser sur le compte bancaire dont les coordonnes sont par la suite indiquées

  • Money Transfer to IBAN IT60 N 07601 02800 000071628283 BIC/Swift Code: BPPIITRRXXX
    Gotica Toscana Onlus - Via A. Galilei 7 - 50038 - Scarperia (FI) Italy
    with the statement - avec la declaration “CF 90022500483  registration fee Column 2011.”
  • You can pay also with Paypal; ask us for more informations

* Subject

* Surname Name - Nom Prénom  

IMPORTANT - Fill a form for each participant - Un formulaire pour chaque participant

              * e-mail 

I am Gotica Toscana  Member - Je suis membre de GoticaToscana 

* Address

* Phone

* Unità rappresentata - Represented Unit

Please select your days
Selectionnez votre jours

23 April 

24 April

25 April

Meals

23 April lunch 

23 April dinner 

24 April lunch

25 April lunch 

 

Sleeping Accommodations - LOGEMENTS

    Sleeping Accommodations - LOGEMENTS - within military stations as well as public buildings

Felonica 22 April

Verona 23 April

Verona 24 April

    Hotel at my charge - L’Organization provides a free of charge service of reservation

    Felonica 22 April

    Verona 23 April 

    Verona 24 April 

Vheicle

Type

Brand - Frabriquè par

Year - Annèe

Plate - Plaque

Registration fee - Inscription

* Registration  

Please, list into the message box the persons you are paying for
SVP, entrez dans le message box ci-dessous la liste de personnes pour laquelle vous allez payer

Days

Cost Non GT members

Cost GT Ordinary Members

23-24-25 4 meals

EURO 90,00

EURO 75,00

Only 23-04 1 meal

EURO 50,00

EURO 40,00

Only 23-04 2 meals

EURO 60,00

EURO 50,00

Only 25-04 1 meal

EURO 40,00

EURO 30,00

Only 23-25 3 meals

EURO 70,00

EURO 60,00

Please, list into the message box the persons you are paying for
SVP, entrez dans le message box ci-dessous la liste de personnes pour laquelle vous allez payer

payment type    Payment date or Paid by 

 

Mandatory Statement

* I understand and agree that I participate in this event entirely at my own risk.

 

* I declare that I understand the RULES OF THE EVENT and I agree with statements therewith

 

* Privacy Statement - Informed Consent - I give consent

 

* Consent to the publishing of personal images

 

Message  Box

 

    

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

     

Length m 

Eight m

Pulmann A/R - from to and viceversa  - Seats/Cost

 

 

 

 

Trasporto veicolo - Vehicle Transport

 

 

 

 

 Totale Euro   Calcolate il totale

[Event Module]