Reservation Form

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Company's Space Reservation Forum Agenti Northwest

Yes, I wish to participate in Forum Agenti Northwest that will happen in Hotel Diamante Alessandria Wednesday 9 March 2022.

Space Reservation

Job Interviews Space € 900,00 + VAT (where applicable)

Total amount due € 0,00 + VAT (where applicable) (you will receive the regular invoice by e-mail)

Please enter your Billing Data:

Company Name

Address

Postal Code

Department

Town

Country

VAT Number

Fiscal Code

Phone Number

Fax Number

Company Email

PEC Fattura Elettronica

Codice Canale Destinatario

Website

First and Second Name of the Contact Person

Contact Person Mobile

Contact Person Email

Notes

Comment

Url

Website

Select the Payment Method you prefer

Bank TransferCredit Card

Credit Card Information

Carta siAmexVisaMastercard

Number

Expiration-

Cvv

Owner

Birth date--

I accept the processing of personal data

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