Icnussa 2019 meeting – Application form

Fields marked with * are mandatory

Name *

Surname *

Birth date *

Sex
MF

Birth place *

Birth province *

Birth country *

Tax code *

Address and Contacts

Street *

House number *

ZIP *

City *

Province *

Country *

Phone *

E-mail *

When did you arrive in Urzulei *

When will you leave in Urzulei *

Where do you sleep *
---CampingCamperHotelB&BHouse

Caving

Club or Society

How long have you been caving? *

Have you already been in Urzulei in 2009?
SiNo

Taking note of the statute and regulations asks to become a member of the association Icnussa *
I have read and accept

Membership fee: 30€

(you will be redirected to PayPal)