SUBSCRIPTION FORM

Permaculture design course

1st June - 16th June 2014

Corga Da Pereira, central Portugal

Full name*:

Felipe Marchi

Address:

Via San Gallo, 17

Postal code and

place:

50129 Firenze FI

Country*:

Italy

E-mail*:

femarchi@live.it

Phone number:

+393803419404

Obligatory

Price early bird (booking before 15th of May) 480 after this date 550 for the 16
days course, certificate, Camping and all meals.
To subscribe deposit 150 to this account: number 40233549803 N.G. Green
IBAN: PT50 0045 3332 4023 3549 8032 7 /NIB: 0045 3332 40233549803 27
BIC/SWIFT: CCCMPTPL
The rest of the subscription should be paid on arrival.
E-mail this form to:

nige4401@aol.com