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Fondazione Alexander Langer Stiftung - Onlus

Fondazione Alexander Langer Stiftung – Onlus
Latemar Str. 3, 39100 BOZEN
Tel. + Fax 0471/977.691
E-mail: info@alexanderlanger.org
Secretariat: Martina Zambelli

The Alexander Langer Foundation is searching for new Friends and supporters. For getting Friend or supporter of the Foundation please fill in the admission form in all parts (as for art. 12 and 14 of the Statute).
Please note that the contributions may be used for fiscal deductions as stipulated by the Italian law.

The undersigned

Surname  Name

Profession and/or voluntary activity
As representative of (in case)

is taking part in the foundation "Fondazione Alexander Langer Stiftung - Onlus" as per objectives indicated in the Statute approved by the foundation assembly dated 4th July, 1999.
He/she declares to have transferred the amount of Euro to the account of the Foundation (Banca/Bank: Cassa di Risparmio di BZ – Südtiroler Sparkasse, IBAN: IT91 S 060 4511 6130 0000 0555 000) for the following purpose:

a) to contribute with a unique gift, as Friend of the Foundation, to found its capital (individual sum or collective sum from a group of persons) by means of an amount not inferior to 500 Euro

or

b)to contribute, as Patron of the Foundation, to its ordinary activities - individual annual sum not inferior to Euro 25.

Please note that the contributions may be used for fiscal deductions as stipulated by the Italian law.

Particulars: date of birth place of birth
Tel/Fax
resident in   ZIP code
street
E-mail

tax code

I get the information forseen from art. 10 by law n. 675 from 31.12.1996 – under protection of the law of privacy and agree in sense of art. 11 – treatment of personal particulars.

Date
Document (kind and number)
Notes, proposals, availability
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