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Personal Details
Italian Course
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Course 1: I wish to enroll in the following course:(*)
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If you enroll for a "Professional Course", please select the professional field:
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Have you already studied Italian?
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Are you interested in Italian Language Diploma examinations?
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Personal Details
Italian Course
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Personal Details
Italian Course
Italian Knowledge
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Transfer
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Note that if you are registering more than 30 days before the beginning of the course, we require a deposit payment of 70 Euro. If you prefer, you can also pay the total course fees at once. If you are registering less than 30 days before the beginning of the course, we require the payment for the total course fees.
I will pay
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Centro Giacomo Puccini's bank details: To: centro culturale g. puccini srl Bank: CASSA DI RISPARMIO DI PISTOIA E DELLA LUCCHESIA, Viareggio Account n°: 0001661 in favour of Centro Culturale Giacomo Puccini srl BIC: CRFIIT3P371 IBAN: IT32P0626024803100000001661
through the following method of payment
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by means of the following Credit Card
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For security reasons, please fill in the appropriate form with your credit card details (* and, in the case of Amexco, also the additional number), and fax it to the following number of our registration centre: +39 - 0584 - 961275. If you prefer, you can scan it and send it by email to infopack@centropuccini.it.

My registration implies the acceptance of the "Terms and Conditions of participation" as mentioned in our Web site or brochure.
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Consent in accordance with Art. 23 of D. Lgs. 196/2003. The person concerned, having received the information furnished by the data processing owner in accordance with Article 13 of D.Lgs. 196/2003, hereby consents to the processing of his/her personal data for the purposes indicated in the aforesaid informative note. He/she also consents to the communication of his/her personal data for the purposes and to the subjects indicated in the informative note.
I herewith confirm my enrollment at Centro Giacomo Puccini(*)
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Verify(*)
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