Cognome(richiesto) Nome(richiesto) Telefono(richiesto) Indirizzo e-mail(richiesto) Club appartenenza Club41 Old Tablers Round Table Lady Circle Agora Others Numero Paese Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua And Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgio Belize Benin Bermuda Bhutan Bolivia Bosnia And Herzegovina Botswana Bouvet Island Brasile British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambogia Cameroon Canada Capo Verde Cayman Islands Repubblica Centrafricana Chad Chile Cina Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic Of The Cook Islands Costa Rica Costa D'Avorio Croazia (Local Name: Hrvatska) Cuba Cipro Repubblica Cecoslovacca Danimarca Djibouti Dominica Repubblica Dominicana East Timor Ecuador Egitto El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finlandia Francia France, Metropolitan French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germania Ghana Gibraltar Grecia Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard And Mc Donald Islands Holy See (Vatican City State) Honduras Hong Kong Ungheria Islanda India Indonesia Iran (Islamic Republic Of) Iraq Irlanda Israele Italia Jamaica Giappone Giordania Kazakhstan Kenya Kiribati Korea, Democratic People's Republic Of Korea, Republic Of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libia Arab Jamahiriya Liechtenstein Lituania Lussenburgo Macau Macedonia, Former Yugoslav Republic Of Madagascar Malawi Malesia Maldive Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Messico Micronesia, Federated States Of Moldova, Republic Of Monaco Mongolia Montserrat Marocco Monzambico Myanmar Namibia Nauru Nepal Olanda Netherlands Antilles New Caledonia Nuova Zelanda Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norvegia Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Filippine Pitcairn Polonia Portogallo Puerto Rico Qatar Reunion Romania Federazione Russa Rwanda Saint Kitts And Nevis Saint Lucia Saint Vincent And The Grenadines Samoa San Marino Sao Tome And Principe Arabia Saudita Senegal Seychelles Sierra Leone Singapore Slovacchia (Slovak Republic) Slovenia Isole Solomon Somalia Sudafrica South Georgia, South Sandwich Islands Spagna Sri Lanka St. Helena St. Pierre And Miquelon Sudan Suriname Svalbard And Jan Mayen Islands Swaziland Svezia Svizzera Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic Of Tailandia Togo Tokelau Tonga Trinidad And Tobago Tunisia Turchia Turkmenistan Turks And Caicos Islands Tuvalu Uganda Ucraina Emirati Arabi Uniti Regno Unito USA United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands (British) Virgin Islands (U.S.) Wallis And Futuna Islands Western Sahara Yemen Jugoslavia Zambia Zimbabwe Eventi(richiesto)Firm Program Cena Benvenuto - Welcome Party (40,00€) Pranzo Lavori AGM - AGM Workshop (35,00€) Tour Turistico a Venezia - Venice Tour (In alternativa ai Lavori AGM - Alternatively AGM Workshop) Teatro la Fenice - Fenice Theater (8,50€) (In alternativa ai Lavori AGM - Alternatively AGM Workshop) Pranzo a Venezia - Venice Lunch (40,00€) (In alternativa ai Lavori AGM - Alternatively AGM Workshop) Banner Exchange Cena di Gala - Gala Dinner (85,00€) Spritz Hour (25,00€) Intolleranze alimentari Allergie Nome accompagnatore Eventi (accompagnatore)Companion Program Cena Benvenuto - Welcome Party (40,00€) Tour Turistico a Venezia - Venice Tour Teatro la Fenice - Fenice Theater (8,50€) Pranzo a Venezia - Venice Lunch (40,00€) Banner Exchange Cena di Gala - Gala Dinner (85,00€) Spritz Hour (25,00€) Intolleranze alimentari Allergie Caricamento ricevuta bonificoUpload Bank Transfert Receipt Dimensione massima di 10 MB Maximum file size 10MB Digita i caratteri(richiesto) Questo campo deve essere lasciato vuoto Invia Si prega di attendere ...
