Membership - APS.fazara.it

Membership Registration

Personal Details

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Name *

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Last

Father’s Name *

Date of Birth (DD/MM/YYYY) *

Place of Birth *

Gender *

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Female

Nationality *

Country of Origin *

Your Address

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Address *

Address Line 1

Address Line 2

City

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Contact Details

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Phone Number *

Email Address *

WhatsApp Number *

Indentification

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Select ID Type

ID Number

Expiry Date

Codice Fiscale

Nominee Details

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Nominee Name *

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Name Expiry State

Relationship

Phone *

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Declaration

I confirm all information is correct
I agree to contribution 59 Euros per year

Fazara APS rules Will be received after confirmation.

To Submit :

Full Name

I agree to the Privacy Policy

When you apply for membership through our website, we collect and process the personal data you provide in the registration form. This data is used to: Evaluate and manage your membership application. Communicate with you. Maintain internal records of members Your data will not be used for marketing purposes without your explicit consent.

Date

City

APS.fazara.it

APS.fazara.it

Membership Registration

Personal Details

Your Address

Contact Details

Indentification

Nominee Details

Declaration

To Submit :

FAZARA APS ORGANIZATION

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