Become a member – Villa Pianciani

Cultural Association Matilde Pianciani

Membership request

It is possible to participate in all activities promoted by the Association upon registration. Activity rates include the annual membership fee.

Name

Second Name

Date of birth

Place of birth

Nationality

ID document type and Number

Address

City

Province/State

Phone

Notes

I have read and understood the information on the processing of my personal data for the purposes of the request for information/contact

I authorize the processing of my personal data for profiling and personalized marketing activities, as described in the information notice

ACMP Terms and Conditions: according with the statute, accepting and sharing the aims and objectives and adhering to them, I ask to be admitted as a member of the Cultural Association Matilde Pianciani. To that end I declare I have paid or intend to pay the fee due for the current year. I exempt the Cultural Association Matilde Pianciani to any liability for any damage, physical an/or patrimonial, to the undersigned which may result from the performance of the activities organized by the Association if they are not a direct result of willful misconduct or gross negligence of the Association