MEMBERSHIP REGISTRATION FORM - elba-music.it ?· MEMBERSHIP REGISTRATION FORM New membership –––––…

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    21-Jul-2018

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<ul><li><p>MEMBERSHIP REGISTRATION FORM </p><p>New membership Renew or upgrade your membership for 2018 </p><p>Fill out manually or use any PDF reader and return to info@elba-music.com </p><p> Name Last Name Address City Country Postal Code e-mail Mobile Tel. </p><p>CHOOSE THE CORRESPONDING LEVEL </p><p> Partner starting at 5.500,00 </p><p> Benefactor starting at 2.500,00 </p><p> Supporter starting at 1.000,00 </p><p> Contributor 300,00 </p><p> Companion 100,00 </p><p>The annual contribution can be paid by bank transfer to the following account: </p><p>Ass. Amici del Festival Elba Isola Musicale dEuropa IBAN: IT07G0503470740000000001703 </p><p>SWIFT / BIC: BAPPIT21T29 </p><p>or by check to be made and sent to: </p><p>Ass. Amici del Festival Elba Isola Musicale d'Europa Calata Italia, 17 57037 Portoferraio (Li) Italy </p><p> The donations are tax deductible (26% of the amount according to the current Italian legislation) </p><p> I authorize the use of my personal data only as part of the activities of the Friends of Elba Isola Musicale d'Europa Festival Association. Information pursuant to Law 12/31/96 N 675) Signature </p></li><li><p>New membership: Renew or upgrade your membership for 2018: Name: Last Name: Address: City: Country: Postal Code: email: Mobile: Tel: </p></li></ul>