REGISTRATION FORM FOR ASSOCIAZIONE ITALIANA SOMMELIER {dal 1965}

PROFESSIONAL SOMMELIER DIPLOMA QUALIFICATION COURSE

 

FULL NAME………………………………………………………………………………………………………………………....

 

ADDRESS ……………………………………………………………………………………………………………………….…..

 

POST CODE ……………………………………………………………………………………………………………..………..

 

DATE OF BIRTH …………………………………………………………………………………………….…………………..

 

MOBILE ………………………………………………………………………………………………………………….………..

 

EMAIL …………………………………………………………………………………………………………………….………..

 

OCCUPATION …………………………………………………………………………………………………………………..

 

WORK ADDRESS ……………………………………………………………………………………………….……………..

 

WORK TELEPHONE NUMBER …………………………………………………………………………………………..

 

EMERGENCY CONTACT NAME AND MOBILE

………………………………………………………………………………………………………………………………………..

 

I would like to receive emails from UKMSA                          Y                                              N

 

Where did you hear about the course?

……………………………………………………………………………….……………………………………………………..

 

The undersigned agrees to the recording, storage and processing of personal data for administrative, operational, managerial and accounting purposes by AIS/UKMSA and the inclusion of such, in the Association archive.

 

 

Date …………………………………………………………………….……………………………………………………..

 

Signature ……………………………………………………………………………………………………………………..

 

 

Send to : thesommelieruk@gmail.com

 

UKMSA Ltd Office: 12 George Borrow Road, Norwich, NR47HS