Registered business address:
via La Spezia ROMA Italia P.IVA 03641991009

Operational address: Corso Cavour - 05018 Orvieto TR Italia tel. +39 0763 340875 fax. +39 0763 341251

Coord.Bancarie Nazionali BBAN xxxxxxxxxxxxxxxxxx
C/C xxxxxxxxxx ABI xxxxxxxx CAB xxxxxxx CIN xxxxxxxxxx
Coord.Bancarie Internazionali IBAN xxxxxxxxxxxxx

Name (*)  
Surname (*)  
E-mail (*)  

I accept the privacy conditions. The personal information required will be used by Icaria with regard to D.lgs 196/2003 (?Regulation regarding the protection of personal data? and in accordance with conditions outlined in the Privacy Policy section on the website)