International Leonardo Da Vinci Awards 2019

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Would you like to celebrate the 45th Leonardo da Vinci Award with us in Florence? Fill the form below !

Rotary Club*

First Name*

Last Name*

Email*

Address*

Telephone*

Mobile*

Spoken Language(s)*

Classification*

Name of the accompanying person(s)*

Special food requests*

ProgramAB

Arrival Date*

Departure Date*

Arrival Hour*

Departure Hour*

Disable Requirements*

Please return this form filled and proceed with the fee payment before 15th April 2019
Registration Fee: € 330,00   | Please make your payment by bank transfer to the following account (with your name):
Bank account registered to: Rotary Club Firenze |  Bank name: Banca Popolare di Spoleto S.p.a. | IBAN: IT26 Z057 0402 8000 0000 0515 000 | BIC/SWIFT: BPSPIT31

Please return this form filled before 15th April 2019
Registration Fee: € 330   | Please make your payment by bank transfer to the following account (with your name):
Account reference: Rotary Prize Leonardo 2019 |  Bank name: Banco Desio e della Brianza S.p.A. | IBAN: IT 91 E 03440028080 0000 0399 100  | BIC: BDBDIT22