Brent Corrigan Talkin About Brent Everett

Modulo di adesione. Laboratorio di scrittura creativa - vacanza a Torraca. In collaborazione con AltrEdizioni Casa Editrice. Modulo di adesione

Poliarte
International Association
Culture Art Books Training
Via Vittorio Veneto, 31 84030
Torraca (SA) and
mail: _________________________________________________ poliart7@gmail.com


form to join the creative writing workshop in Torraca ( SA)
I, the undersigned:

Nome_________________________________________________

Cognome______________________________________________

born in a________________________________________________

il_____________________ CF____________________

indirizzo________________________________________________

telefono________________________cell._____________________

e-mail__________________________________________________

asked to participate in the creative writing workshop to be held in Torraca (SA) 22 to 29 August 2010.
declares to have completed:

↻ bank transfer of € 250.00 on the cc. Poliarte payable to the Bank's Ethics, Rome, IBAN IT10X0501803200000000129332 (CRO No )

↻ postal order payable to € 250.00 Poliarte, Via Vittorio Veneto, 31, 84030 Torraca (SA) (No Receipt);
and undertakes to pay the remaining sum of € 240.00 to 'beginning of the laboratory activities that will take place on 22, to 18.00, at the library of the Convent.

The total sum of € 490.00 is inclusive of the cost of staying at bed & breakfasts (7 nights with breakfast) Convent of the Sisters of Saint Anthony Grillo, Cardiff, in a double room. (Single room is required for a daily supplement of € 5.00, for No 8 meals at restaurants Sergeant, The Inn of the Baron, From Ninuccio, your choice and registration fee Poliarte. Curriculum

essential

:________________________________________________ _________________________________________________________________ _________________________________________________________________






Data_______________________ Firma_________________________

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Those interested can take the form poliart7@gmail.com and will be sent urgently.