Subscription Form

SUBSCRIPTION RATES (please tick your choice) PRINT EDITION (Jan-Dec 2017)

Italy Rest of the World * * * * * * * * * *

PLEASE COMPLETE THE DETAILS (*mandatory field)

First name: Last name: Company name: VAT nr: Address: City: ZIP code: Country: Phone: Fax: @-mail: £ € 140 £ € 240

TERMS OF PAYMENT (please thick your choice) CREDIT CARD

£ VISA £ MASTERCARD Holder’s name: Number: Expiry date:

BANK TRANFER to

BANCA POPOLARE DI SONDRIO, Ag. 35 Milano, Piazzale Loreto - 20131 Milano - Italy Bank Account: Bic/swift: headed TEKNO SCIENZE SRL in Euros POSOIT22XXX IBAN nr: IT 44J0569601635000002040X47 (Euros)

CHEQUE headed to

Tekno Scienze S.r.l. - Viale Brianza 22 - 20127 Milano - Italy

POSTA GIRO (for Italy only) to

Tekno Scienze S.r.l. - nr: 17393208

(please send the receipt of payment)

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2017