Forum Internazionale sulle nuove energie
per lo sviluppo competitivo e sostenibile della città
26-27 Maggio 2011
REGISTRATION FORM SOCIAL EVENTS
Participant Information
All fields are required
I’d like to take part in Green City Energy social events (lunches + Green City Energy Dinner)
Registration fee € 150
Payment Method
invoice to be addressed to:
Company Name or Surname and Name
VAT number or Tax Code
Address
City
Province
Zip Code
Phone
E-mail
By bank transfer made out to CLICKUTILITY SRL, ref. "Green City Energy 2010", drawn to:
C/C n. 000000010665 Banca Popolare di Milano Ag. 217 San Lazzaro di Savena, Bologna ABI: 05584 · CAB: 37070 · CIN: B IBAN: IT 83B0558437070000000010665
C/C n. 000000246C00 Cassa di Risparmio delle Spezia SpA CARISPE sede di Genova ABI:06030 · CAB: 01401 ·
CIN: W IBAN: IT 43W0603001401000000246C00
It is requested that you fax a copy of your bank transfer receipt to +39 010 999 86 83 or send it to
segreteria@greencityenergy.it
. Registration will not be considered until the copy of the receipt of transfer is received.
PERSONAL DATA PROTECTION
According the article 13 Law 675/96, the personal data provided by the person concerned, are treated also with electronic tools for the purposes specified in the project. The owner of the data treatment is Clickutility srl (Legal and Operative Office: Monte Grappa Street number 16, 40121 Bologna). The person concerned has the right to access to his/her personal data and to ask for their integration/rectification or update, etc. granted by the article n. 71 LAW 196/2003, applying to ClickUtility. Providing these data and giving the consensus for their treatment, are necessary conditions for the registration to the Forum Green City Energy. The person concerned, after reading these information in accordance to the article 13 Law 196/2003, gives his/her consensus to the personal data treatment as above-mentioned.
In acceptance