PARTICIPANT REGISTRATION FORM LastNam…………………….……………. FirstName………………….……………………… Address……….………………………………………………………………..…………….. Membership Club / role ………..……………………………………………………………………………… Partner ….…………………………………………………………………..………………………………………………… Email…………………………….……………………………….Telephone………………………..….………. SUBSCRIPTION FEE. Welcome Dinner - Friday 26th October Ristorante Gaffurio, Lodi – 30,00 - nr. of person…………. Total € – €……………….. Light Lunch Saturday 27th October Ristorante Castello, Lodi – 25,00 - nr. of person…………. Total € – €……………….. Gala/Foundation Dinner Saturday 27th October Ristorante La Coldana, Lodi – 55,00 - nr. of person…………. Total € – €……………….. _________________________ Total bank transfer €………………..
PARTICIPANT REGISTRATION FORM LastNam…………………….……………. FirstName………………….……………………… Address……….………………………………………………………………..…………….. Membership Club / role ………..……………………………………………………………………………… Partner ….…………………………………………………………………..………………………………………………… Email…………………………….……………………………….Telephone………………………..….………. SUBSCRIPTION FEE. Welcome Dinner - Friday 26th October – Ristorante Gaffurio, Lodi € 30,00 - nr. of person…………. – Total €……………….. Light Lunch Saturday 27th October – Ristorante Castello, Lodi € 25,00 - nr. of person…………. – Total €……………….. Gala/Foundation Dinner Saturday 27th October – Ristorante La Coldana, Lodi € 55,00 - nr. of person…………. – Total €……………….. _________________________ Total bank transfer €………………..
chartering-lodi-registration-form-1.docx