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Enrolment fee as D'ACCORT Association Member: 20 €

Click in   infotiscali@c-m-m.info 

(Personal data will be used by only for archive purpose and in agreement with the current privacy legislations)

Spain  :  c/c  n°  0065-0083-14-0001032979  Barclays                     

For the rest of the world: 

c/c n°  I.B.A.N. ES 73-0065-0083-1400-0103-2979  and B.I.C BAR-ESMM

B/ Credit Cards       

American Express __    VISA  __  Master Card __   others____________

Name

Number

Signature                                       Member since

Valid dates   __ __ /  __ __ __ __  thru  __ __  / __ __ __ __

Any complementary information or suggestions together whith specific contributions  (scientific papers, teaching material, etc.) including personal titles will be very  welcome.

A/   

Webmaster: multimedia by Dario Giannessi, logos by Gigi D'Acunto

Association Founding Memer: 20€

PAYMENT : A/ and B/ :  20 €

A/  To send by bank money transfer at D'ACCORT on current account:

After been reading the D'ACCORT Association Statutes

I ask to be enrolled as Founding Member

Mr/s:

Full address:

( for the reception of Diploma)

Prioritary telephone number:

E-mail address :

Date:

Bank money transfer: