Please, print and complete this form with a typewriter or in capital letters
Title: Prof./Dr./Mr./Mrs.
Family Name: .......................................................................................................
Name: ....................................................................................................................
Name of Institution: .............................................................................................
................................................................................................................................
Street: ....................................................................................................................
Town & Postal Code: ............................................Country:.................................
Telephone: .....................................................Fax:.................................................
Important: I would like to have:
Invoice to be sent to / intestazione fattura:
....................................................................................
....................................................................................
V.A.T. identification n / P.IVA o Codice Fiscale:
....................................................................................
(without the V.A.T. identification number we cannot make the invoice)
Centro di Cultura Scientifica "A. Volta"
Villa Olmo - Via Cantoni, 1
22100 Como (Italy)
tel +39.31.572213 - fax +39.31.573395