Name

Surname

Date of birth (gg/mm/aa)

Place of birth

Address

City

Province

Postal code

Email

Telephone

Type of partner Individual (person) Professor (company institution hotel)

In the case of Ordinary shareholder shall also be required for the development of the underlying:

Name of Socety or hotel

Type of business

Address of head office

Email

Telephone

I have read and accepted the terms contained in the following document: Normativa sul trattamento dei dati personali