HYPER WEEK 2019 registration form
! To definitely book your place you'll have to send €100,00 deposit to the following banking details:

Account name: International Project-JD Associazione Cultura e Danza
Address: Via Fabio Filzi, 17/13. Guidizzolo 46040
Bank name: Gruppo Ubi Banca
Iban: IT50S0311157570000000034967
Swift code: BLOPIT22

The deposit is not refundable.

For any other questions please write at hyperweek.pjd@gmail.com

Email address *
Name *
Nome
Your answer
Surname *
Cognome
Your answer
City and country *
Città e nazione
Your answer
Birth Date *
Data di nascita
MM
/
DD
/
YYYY
Name on Facebook
Nome su Facebook
Your answer
PROMOTER's CODE (if you received one)
Codice promoter
Your answer
Choose an option *
Si scelga un'opzione
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service