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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 …………………………………………………………………………………………..
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EMERGENCY CONTACT NAME AND MOBILE
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I would like to receive emails from UKMSA Y N
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Where did you hear about the course?
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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.
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Date …………………………………………………………………….……………………………………………………..
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Signature ……………………………………………………………………………………………………………………..
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Send to : thesommelieruk@gmail.com
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UKMSA 2022 Office: Kimberley, Victoria Road, Llanwrtyd Wells, Powys LD54SU
