Name * Last name * Society *

Address * City * ZIP CODE *

Telephone * Fax E-mail

Tax code/VAT registration number

ANNUAL MEMBER ANNUAL AMOUNT

TRIENNAL MEMBER TRIENNAL AMOUNT TO PAY BY ONE RATE

	ANNUAL AMOUNT	TRIENNAL AMOUNT
Promoter (6 sub. at Symphonic Season ) Well-deserving (4 sub. at Symphonic Season ) Supporter (2 sub. at Symphonic Season ) Active Partner Junior Choir, orchestra, staff	€ 13.000,00     (also by 4 rates of € 3.250) € 5.500,00     (also by 4 rates of € 1.370) € 2.750,00     (also by 4 rates of € 687,50) € 550,00     (also by 4 rates of € 137.50) € 150,00     (also by 4 rates of € 37,50) € 200,00     (also by 4 rates of € 50,00)	€ 36.000,00 € 36.000,00 € 36.000,00 € 36.000,00 € 36.000,00 € 36.000,00

Directly to the Members and Associates Office
By cheque or non-negotiable bank draft
By bank transfer
By postal bill
By rates


We invite you to sign the form in each part of it. The Members and Associates Office will contact You to better the inscription.

The Symphonic Orchestra Giuseppe Verdi of Milano guarantees you, by law 675/96, to protect your personal dates and their exclusive use to communicate you more information about the Orchestra and its activity.