Nel Nome Della Donna Trust

Yes, I want to be part of the Nel Nome Della Donna Trust and its commitment to women

Name

Address

Town

Zip and State

Telephone (home)

Telephone (mobile)

Occupation

Date of birth

E-Mail

New Supporter □ Associate 25 € □ Full 50 € □ Life Membership 1500 € □

Community 125 € □ Corporate 250 € □

10% discount on three-year Membership

How did you find out about the Trust?

Payment details

□ cheque (Please make cheques payable to Nel Nome Della Donna Trust)
□ bank transfer IBAN IT35B0860379700000000306028 a NEL NOME DELLA DONNA TRUST,

with reference: addition to the corpus of the Nel Nome Della Donna Trust

This membership (printed and completed) and the eventual cheques need to be sent by mail to the address below.

Date and segnature

Nel Nome Della Donna Trust

SOUTHERN ITALIAN TRUST COMPANY, c/o Notaio Anglana

                                                                       via Scupola 2 – 73100 Lecce (Italia)