Individual Registration

Please enter information in the form below to process registration for event World Wide Absentee.

First Name *

Last Name *

Address *

City *

Zip *

Country *

State

Tax Code, if you don't have it, please fill with X * *

Phone

Email *

Comment

Name Surname Absentee Participant *

Participant Address

When and where did you attend the Basic 1 or Business or Health class? *

Amount

€

Payment Method *

Con Carta di Credito o Paypal Con Bonifico Bancario

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

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Associazione Culturale Centro Studi per lo Sciamanesimo, Via Barbusi 5, Villabartolomea (Vr) C.F. 91021660237 Puoi legge lo statuto a questo link