The Second Animine Academy

Personal Data

Name*

First name Last name

Title*

Phone

Email*

Address

Address City State/Province Postal Code Country

Organisation name

Application

Name*

First name Last name

Date of birth*

Place of birth*

Passport no.*

Nationality*

Issue date*

Valid until*

Arrival date*

Departure date*

Place of employment*

Institution/ company's address*

Address City State Postal Code Country

Workshop fee

Price: 250,00 €

Activities

Total

0,00 €

Please complete the form below in order to receive your invoice.

Invoice details*

Organisation name / Physical person Address City State Postal code Country

VAT Number / Tax registration number / Tax code (in case of Italian physical person)

The registration fee includes one day and a half workshop (one lunch and three coffee breaks during the meeting).
Gala dinner will be on Thursday June 22nd.
Museum guided tour will be on Friday June 23rd starting at 3:00 pm (duration 1:30h).
Cancellation of participation: no refund policy considered.

Payment Method*

Bank transfer is available until Friday 16th June.

Email

This field is for validation purposes and should be left unchanged.