Name ..............................................          Surename ..........................................................

Business Name ..................................................................................................................

VAT Number ......................................... (VAT mandatory for companies)

Profession .................................................................

Street ....................................................................................      n° ....................... 

Zip Code  .......................     Town........................................................      State..........

Telephone .................. / .................................. 

Fax .......................... / .................................. 

e-mail ...........................................................

Payment Method:

• Bank wire transfer (require necessary codes from EASV administration).....................................  
• Cash of delivery (where applicable)..............................................
  

EASV Registration Form

V.Parini, 9 Cervia (Ra)
Tel.  +39.0544/972301
Fax. +39.0544/972501
www.easv.org