Modulo di Iscrizione - Sport & Safe Driving School

Registration Form

Before completing the form in its entirety, please consult the Calendar to select the course and date to your liking.
I also encourage you to review information on the treatment of personal data ex art. 13 D. LGS. 196/2003.
At the end of compilation click "Send."

Name and Surname:

Born date:

Profession:

Address:

C.A.P.:

City:

Tel.:

E-Mail:

Document:

Fiscal Code/P.I.:

Intende partecipare a:

Safe Driving Course

Sport and safe driving course 1

Sport and safe driving course 2

Sport Personal Training Course

Sport and safe driving course on two wheels

To be held at the Internazional Circuit of Latina "Sagittario " European Center for Road Safety "on date selected.

Date of course:

I declare that I have read and accept the information on the treatment of personal data ex art. 13 D. LGS. 196/2003

If you prefer you can download the application form in doc format. Once completed in its entirety will be sent for E-mail to: info@guidasicurasportiva.com or by fax at: 06/9145626 (when sending faxes to make sure that the reception phone 06/91821085 ).
Click here to download the registration form

Segreteria tel. 06/91821085 - e-mail info@guidasicurasportiva.com

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