SHORT COURSES APPLICATION FORM 2017

Tick one box

 / N°1 / 14-17 April / 28h / € 280,00 /  / N°9 / 7-13 August / 46h / € 460,00
 / N°2 / 28 April-1 May / 28h / € 280,00 /  / N°10 / 14-20 August / 46h / € 460,00
 / N°3 / 1-4 June / 28h / € 280,00 /  / N°11 / 24-27 August / 28h / € 280,00
 / N°4 / 6-9 July / 28h / € 280,00 /  / N°12 / 4-27 September / 44h / € 440,00
 / N°5 / 6-9 July / 20h / € 220,00* /  / N°13 / 14-17 September / 28h / € 280,00
 / N°6 / 17-23 July / 46h / € 460,00 /  / N°14 / 29 October -1 Nove. / 28h / € 280,00
 / N°7 / 24-30 July / 46h / € 460,00 /  / N°15 / 7-10 December / 28h / € 280,00
 / N°8 / 31 July-6 August / 46h / € 460,00 /  / N°16 / 27-30 December / 28h / € 280,00

  • I acknowledge that the enrolment fee will not be refunded in case of total or partial impossibilityto attend the course not chargeable to Scuola Mosaicisti del Friuli.
  • I acknowledge that the course will start with 5 participants minimum. Enrolment fee will be refunded in case of cancellation of the course.

Please enclose the registration fee

Signature ……………………………………………………… ………………………………….

(date)

PERSONAL DATA TREATMENT - Artt. 13 e 23 of D.Lgs. 196/03

The personal data delivered with this enrolment request will be used by Scuola Mosaicisti del Friuli exclusively for teaching and educational activities as long as the program of courses and of events organized by the School. According to ex art. 7 of D. Lgs. 196/03, the personal data can be accessed to and changed anytime after written request to be sent to Scuola Mosaicisti del Friuli

Signature…………………………………………..