I, the undersigned

born in

in the province/state of

the

residing at

in the province/state of

Postal Code

at the address

n.

Fiscal Code

cell

email

requests to the Cultural Association Pippo Patruno to be admitted as a Member.

Furthermore, the undersigned:

• Declares to have read and accepted the Statute of the Association, to share its institutional purposes, and to undertake to respect the resolutions of the representative bodies;

• Commits to paying the annual membership fee of €20.00;

• Consents to the processing of personal data by the Association, in accordance with Legislative Decree 196/2003 and subsequent amendments and the EU Regulation 679/2016 (GDPR); in particular, consents to the processing of personal data for the achievement of the Association's purposes, to the extent necessary to fulfill obligations prescribed by law and statutory provisions.

mode of payment for the membership fee:
in cash, to Vice President Francesco Intiniin cash, to Secretary Paolo Patrunoby bank transfer, payable to: Cultural Association Pippo Patruno - IBAN: IT91T0846941570000000150741by credit card / PayPal via link, to be communicated by the Association's Secretariat