Scarica il booklet Amici di Palazzo Strozzi
Scarica il booklet Amici di Palazzo Strozzi
Scarica il booklet Amici di Palazzo Strozzi
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Dati personali / Personal information<br />
Nome / First Name<br />
Cognome / Surname<br />
In<strong>di</strong>rizzo / Address<br />
Città / City<br />
Cap / Postcode<br />
Paese / Country<br />
Telefono / Telephone<br />
Ema<strong>il</strong><br />
Partita IVA / Co<strong>di</strong>ce Fiscale<br />
(only for Italian citizens)<br />
Categorie / Categories<br />
Amico in<strong>di</strong>viduale / Friend in<strong>di</strong>vidual<br />
(contributo <strong>di</strong> almeno / minimum contribution € 59.00)<br />
Studente e pensionato / Student and<br />
senior citizens (contributo <strong>di</strong> almeno /<br />
minimum contribution € 29.00)<br />
Coppie / Couples (contributo <strong>di</strong> almeno /<br />
minimum contribution € 79.00)<br />
Famiglie / Fam<strong>il</strong>y (contributo <strong>di</strong> almeno /<br />
minimum contribution € 99.00)<br />
Amico+ / Friend+ (contributo <strong>di</strong> almeno /<br />
minimum contribution € 500.00)<br />
Si prega <strong>di</strong> selezionare la modalità <strong>di</strong> pagamento preferita:<br />
Please choose your preferred method of payment:<br />
Carta <strong>di</strong> Cre<strong>di</strong>to / Cre<strong>di</strong>t card<br />
in biglietteria o online (www.palazzostrozzi.org/amici) / at<br />
the box office or on line (www.palazzostrozzi.org/friends)<br />
Bancomat o contante / Debit card or cash<br />
<strong>di</strong>rettamente in biglietteria / at the box office<br />
Bonifico / Banker’s order<br />
in<strong>di</strong>cando quale causale “erogazione liberale Fondazione<br />
<strong>Palazzo</strong> <strong>Strozzi</strong>” alle seguenti coor<strong>di</strong>nate bancarie /<br />
entering payment reference: “Free donation to the<br />
Fondazione <strong>Palazzo</strong> <strong>Strozzi</strong>”, to the following account:<br />
Banca Cassa <strong>di</strong> Risparmio <strong>di</strong> Firenze - Agenzia 16<br />
IBAN: IT43 E061 6002 8160 0001 3937 C00<br />
In caso <strong>di</strong> bonifico si prega <strong>di</strong> inviare <strong>il</strong> presente modulo<br />
e la ricevuta al seguente in<strong>di</strong>rizzo / If you choose to pay<br />
by banker’s order, please attach this form to the receipt<br />
and send it to:<br />
<strong>Amici</strong> <strong>di</strong> <strong>Palazzo</strong> <strong>Strozzi</strong><br />
Fondazione <strong>Palazzo</strong> <strong>Strozzi</strong><br />
Piazza <strong>Strozzi</strong> - 50123 Firenze (Italy)<br />
In alternativa tramite fax / or to fax number:<br />
+39 055 2646560<br />
o alla e-ma<strong>il</strong> / or by e-ma<strong>il</strong> to:<br />
amici@palazzostrozzi.org<br />
Grazie / Thank you
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