ENTE MOSTRA ARTIGIANATO ARTISTICO ABRUZZESE
Via Roma 28 - 66016 GUARDIAGRELE (CH) - ITALY
Phone Fax 0871 83829 - http://www.artigianato abruzzese.i t
email: info@artigianatoabruzzese.it
Partita IVA: 01608580690 C.F.:80003140698
The world's best ceramic fountains
Guardiagrele, from 9th to 12th August 2012
APPLICATION FORM
THE MASTER/ARTIST ___________________________________________________________________________________________________
POST CODE _____________ TOWN___________________________ PROV. _____________________ COUNTRY_______________________
ADDRESS ____________________________________________________________________________________NO. ______________________
PHONE______________________________________ FAX______________________________MOBILE_________________________________
Email ___________________________VATCODE_________________________TAXPAYER NUMBER:_________________________________
RESPONSIBLE___________________________________________________________________________________________________________
OTHER _________________________________________________________________________________________________________________
APPLIES TO TAKE PART INTO THE EVENT: “THE WORLD'S BEST CERAMIC FOUNTAINS”
EXHIBITION (cross the correct item): □ YES □ NO
TRAVEL INFORMATION (cross the correct item):
□ FLIGHT TICKET□ FORFAIT REIMBOURSEMENT:
Please submit your application form no later than 15 April 2012 (on penalty of disqualification) to the following address: Ente Mostra dell'Artigianato Artistico Abruzzese,Via Roma, 28 – 66016 Guardiagrele (Ch) - Italia.The organization shall establish a special committee to select participants.
FOR ANY FURTHER INFO:
PHONE/FAX .0039 0871/83829www.artigianatoabruzzese.it email: info@artigianatoabruzzese.it
TECHNICAL’ARTISTIC DIRECTOR:
M° GIUSEPPE LIBERATI Tel. 0039 0871.300750 – info@liberati.netThe information given under art. 13 of Legislative Decree no.196/2003, I allow the treatment of my personal data, as well as forwarding them to the
Bodies included in the agreement and to the media, for the only purpose of advertising the event.
I declare I read the regulation and I accept it.
DATE __________________________________________ SIGNATURE ______________________________________