Iscrizioni

If you wish to apply as a member of BraYn Association (or renew your membership) you are kindly required to submit your application through the registration form below.

Personal Data

First Name *

Last Name *

Birth's Date (dd/mm/yyyy)

Birth's Place

Tax Code (Codice fiscale)

Residence

Country *

Address *

ZIP Code *

City *

Contacts

Phone Number *

e-mail *

Dati di Pagamento

Listino *

Quota

Quota Libera Inserire la quota desiderata

PAYMENT METHOD: WIRE TRANSFER

Beneficiary: BraYn Association Ets

IBAN: IT14F0306909606100000179705

BIC/SWIFT: BCITITMM

Nota

MODULO DI ISCRIZIONE

Membership BraYn

Personal Data

Residence

Contacts

Dati di Pagamento