Amici del Museo Nazionale dell'Artiglieria

MEMBERSHIP APPLICATION

First name and surname
Date and place of birth
address
street
town
nation
telephone
fax
e-mail
It asks, after to have taken vision of the 'agreement', being admitted as Membership

Educational qualification:
Military rank:
Present profession:
Short curriculum vitae:
Cultural interests
Notes
Referee current Association Member
I request, after reviewing the articles of Association, to be admitted as a member
DATE ....................	SIGNATURE.....................................................
Annual membership fee: EURO 30,00 (Lit. 58.088)