Individual Registration

On this page you are asked to enter your personal data that are functional to the membership and AICS insurance. Upon confirmation of booking you will be sent via e-mail the registration form to the event chosen, the module summarizes all the details of the event, the method of payment and references for possible contacts.

Event Registration: Rinnovo Registro Istruttori in attività

Last Name *

First Name *

Sex *

Date of Birth *

Place of Birth *

Place of birth province - EE if abroad *

Citizenship *

Tax Code - enter 000 if abroad *

Residential address *

Number *

Zip Code *

City of residence - EE if abroad *

City *

Country *

Phone *

Email *

Enter additional information:

Payment Information

Amount

€

Payment method

Bank transfer

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

By register to this event and agreeing to the Privacy Policy you agree to this web site storing your information.

I have read, understood and accepted the Terms and Conditions

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Phone

+39 02 21119231

+39 348 8902647

Email

info@skipperclub.it

Individual Registration

Payment Information

Phone

WhatsApp

Email