Associazione Daniela Di Castro Associazione Daniela Di Castro
Museo Ebraico di Roma
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To become a member all you have to do is download this PDF file and send it to the following address:
Via dei Funari, n. 27
00186   Roma

Or you can fill in the following application form:

Look up where is the Association.
Look up where is the Museum.

Membership application form as student, normal, supporter

To the President of the Association

Name:                 *  

Last Name:          *   

Place of birth:                         Prov:

Date of birth:      dd/mm/yyyy *  

Address:                  n.:

post Code:         


Email:                   *  

Telephone Number:   

It is necessary to choose a password in order to create a new account to access your private network.

The e-mail inserted in the form will be used as your user name.

Password:             *  

I am requesting to join the cultural association Daniela Di Castro – Friends of the Jewish Museum of Rome as member (student/ ordinary member/ partner)

Choose a category:     *  
for the year:     Es: 2011

I agree to pay the membership fee of € 50 (fifty) as a student member, of € 100 (one hundred) as an ordinary member, € 350 (three hundred) as a supporter/partner member for the current year to Banca Prossima - Piazza P. Ferrari, 10 - 20121 Milano, in the name of "Associazione Daniela di Castro".
Coordinate bancarie: CCN 05000/1000/114724 - IBAN IT 53 U033 5901 6001 0000 0114 724.

According to D. Decree No. 196 of 30 June 2003, I authorize the processing of personal data reported here or elsewhere exclusively for the development and management of activities related to the purposes of the Association, without the possibility of transfering of data


Date:                    dd/mm/yyyy

*Required Field