Modulo di Iscrizione

 

                                                                Modulo di Iscrizione da mandare tramite e-mail

                                                                               a:   costanostra2003@libero.it

 

                                                 Cognome...................................  Nome.........................................

                                                Nato a      ....................................  il      ...........................................

                                                Indirizzo .........................................................................................

                                                Cod Fisc  .........................................................................................

                                                Tel.           .........................................................................................