Payments Form:

All Fields Required

Name:

Surname:

Email:

Reason for the payment:

Amount (in Euro €):

,

I, declare that I have read all necessary notification in accordance with article 13 of D.Lgs no. 196/2003, especially as regards my rights as conferred to me under the terms of article 7 of D.Lgs no. 196/2003, and further recognise that the information which I have transferred may be of a sensitive nature, and give my consent to the use and storage of such data for the purposes set out in the information note.