Registration form

PARTICIPANT DATA

Name*

Surname*

Address

ZIP code*

City

District*

E-mail*

Web

Tel.

Fax

Fiscal code or social security number

Please indicate any special requests for meals (intolerances, allergies, ...)

Farm / Company name

Activities sector

Hectare

Company tax code

Company e-mail

ACTIVITY BOOKING

PARALLEL SESSIONS OF IN-DEPTH TRAINING AND DEBATE
Places are limited. Indicate two sessions.
Select the number corresponding to the session of interest.

FIRST CHOICE:
 1 2 3 4 5 6

1. Biodynamic Agriculture: Aula Magna Gobbii
2. Food and health: Aula B - Ground floor via Sarfatti 25
3. Seeds: Aula C - Ground floor via Sarfatti 25
4. Pollution and land recovery: Aula E: Ground floor Via Sarfatti 25
5. Pedagogy and Agriculture: Aula 12 - First floor via Sarfatti 25
6. Bees: Aula 11 - First floor via Sarfatti 25

SECOND CHOICE:
 1 2 3 4 5 6

1. Biodynamic Agriculture: Aula Magna Gobbii
2. Food and health: Aula B - Ground floor via Sarfatti 25
3. Seeds: Aula C - Ground floor via Sarfatti 25
4. Pollution and land recovery: Aula E: Ground floor Via Sarfatti 25
5. Pedagogy and Agriculture: Aula 12 - First floor via Sarfatti 25
6. Bees: Aula 11 - First floor via Sarfatti 25

Preconvention meeting with Association members, contributors and friends - Thursday 19th February
Please specify your presence to facilitate the organization of the evening:
 Yes No

THEME DINNERS (20 and 21 February) with biodynamic and organic tastings
 20 February Association members only - 15 euro 21 February Association members only - 15 euro 20 February - 35 euro 21 February - 35 euro

ANNUAL MEMBERSHIP FEE for 2015 (for those who had not yet confirmed their membership for 2015)
(minimum fee for Ordinary members: 70,00 Euro)

Your Fee €

GRAND TOTAL
(Annual membership fee + theme dinners)

Euro

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