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Compilare ed inviare
- via mail a info@metatronefanclub.it
- via fax al 095/7215786




 DATI DEL SOCIO
 Cognome                                                                              Nome
 Nato a                                                                                            il
 Residente in (Via/Piazza)                                                                               CAP
 Città                                                   Prov.                 E-mail
 Tel.                                         Fax                                     Cell.
 C.F. /P.IVA                                                  Titolo di studio


 Data                                                Firma


 MODALITA DI PAGAMENTO
      -    PAYPAL (metatroneofficialfanclub@gmail.com);
      -    POSTEPAY (4023600588045296 Cosentino Alessandro);
      -    BONIFICO (IBAN: IT59T0306916900100000013956 BIC: BCITITMM);
                     C/O Intesa Sanpaolo intestato a Cosentino Alessandro
      -    VAGLIA POSTALE (Cosentino Alessandro Via Luigi Sturzo, 6
                             95030 GRAVINA DI CATANIA - CT)
      -    CONTANTI (Manifestazioni ed incontri vari);

 Legge sulla privacy:
 Ricevuta l informativa sull utilizzazione dei miei dati personali ai sensi dell art. 13 del decreto legislativo numero 196 del 30
 giugno 2003, recante il nuovo Codice in materia di protezione dei dati personali , consento al loro trattamento nella misura
 necessaria per il perseguimento degli scopi istituzionali. Ai sensi dell art. 13 del decreto legislativo n. 196/2003, recante
 disposizioni sul nuovo Codice in materia di protezione dei dati personali si informa che i dati da Lei forniti formeranno
 oggetto di trattamento nel rispetto della normativa sopra richiamata e degli obblighi di riservatezza. Tali dati verranno trattati
 per finalità istituzionali e amministrative, quindi strettamente connesse e strumentali all attività statutaria. Il trattamento dei dati
 avverrà mediante utilizzo di supporto telematico o cartaceo idonei a garantire la sicurezza e la riservatezza. In relazione ai
 predetti trattamenti Lei potrà esercitare i diritti di cui all art. 7 del D.lgs. n. 196/2003 (cancellazione, modifica, opposizione al
 trattamento).

 Data                                   Barrare                              Firmare
                                        per il consenso via mail             per il consenso via fax

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Metatrone fan club scheda d'iscrizione

  • 1. Compilare ed inviare - via mail a info@metatronefanclub.it - via fax al 095/7215786 DATI DEL SOCIO Cognome Nome Nato a il Residente in (Via/Piazza) CAP Città Prov. E-mail Tel. Fax Cell. C.F. /P.IVA Titolo di studio Data Firma MODALITA DI PAGAMENTO - PAYPAL (metatroneofficialfanclub@gmail.com); - POSTEPAY (4023600588045296 Cosentino Alessandro); - BONIFICO (IBAN: IT59T0306916900100000013956 BIC: BCITITMM); C/O Intesa Sanpaolo intestato a Cosentino Alessandro - VAGLIA POSTALE (Cosentino Alessandro Via Luigi Sturzo, 6 95030 GRAVINA DI CATANIA - CT) - CONTANTI (Manifestazioni ed incontri vari); Legge sulla privacy: Ricevuta l informativa sull utilizzazione dei miei dati personali ai sensi dell art. 13 del decreto legislativo numero 196 del 30 giugno 2003, recante il nuovo Codice in materia di protezione dei dati personali , consento al loro trattamento nella misura necessaria per il perseguimento degli scopi istituzionali. Ai sensi dell art. 13 del decreto legislativo n. 196/2003, recante disposizioni sul nuovo Codice in materia di protezione dei dati personali si informa che i dati da Lei forniti formeranno oggetto di trattamento nel rispetto della normativa sopra richiamata e degli obblighi di riservatezza. Tali dati verranno trattati per finalità istituzionali e amministrative, quindi strettamente connesse e strumentali all attività statutaria. Il trattamento dei dati avverrà mediante utilizzo di supporto telematico o cartaceo idonei a garantire la sicurezza e la riservatezza. In relazione ai predetti trattamenti Lei potrà esercitare i diritti di cui all art. 7 del D.lgs. n. 196/2003 (cancellazione, modifica, opposizione al trattamento). Data Barrare Firmare per il consenso via mail per il consenso via fax