Documents
Resources
Learning Center
Upload
Plans & pricing Sign in
Sign Out
Get this document free

receipt_request_form_eng

VIEWS: 3 PAGES: 1

									                                                REQUEST RECEIPT
       To request a receipt of payment, fill the fields on the form, then sent an email to:
                               segreteria@aviraliafoundation.org.
                      The Foundation will send a receipt to the address indicated.



( * ) Required fields


Name and surname – company name: *



Street: *



Number postcode: *



                                                                                           MEANS OF PAYMENT:
City: *
                                                                                       -    Bank transfer


Province: *                                                                            Payment made on:

                                                                                                 /              /

Fiscal code: *                                                                   To Credito Artigiano S.p.a. –
                                                                                 Agenzia 6 of Rome

                                                                                 Via Pietro Cavallini, 43 – 00193
                                                                                 Rome
Vat number:
                                                                                 Coord. Bank IBAN:
                                                                                 IT-22-E-03512-03206-
                                                                                 000000099995

                                                                                 Code Bic Swift: ARTIITM2
Amount of donation EUR:*

                           ,                                                           -    Cheque n.t. – cashier
                                00
                                                                                       Bank:




 Data issued by you shall be processed in accordance with the provisions of the “ Codice in materia di protezione dei dati personali “
        (D. Lgs. 196/03 ), used by the Aviralia Foundation exclusively for the purposes of sending the tax receipt and will not be
communicated nor disseminated to other entities outside of the appointees nominated by the Aviralia Foundation. Your personal data
will be processed in paper and electronic archives with all the security foreseen by the law. The personal data conferment is optional,
                      failure to provide such implies the impossibility by the Aviralia Foundation send tax receipt.

								
To top