Enrollment form

Name: *   Surname: *  Gender: * --MF

Birthplace: *   Birthdate: *

Address: *

City: *   Postal Code: *   Country: *

Do you have an address in Florence?

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Email: *  Mobile Phone in Florence: *

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How did you hear about TheDarkroom?

Academic course of photographyFAD photography courseModular professional coursesAcademic course of Web DesignAcademic course of Graphic DesignAcademic course for EditorAcademic course of Video ProductionPOD WorkshopsWeek-end WorkshopsSpecial coursesPhotographic SeminarsPhotography and Italian LanguageSummer coursesEvening course of digital photography

Starting date (day/month/year):    Time:

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The payment of the course will be settled by:
Bank transfer   Credit Card   In cash   check

Bank details: Banco Desio IBAN IT 20 L 03194 02800 000000392200 - SWIFT BDBDIT31

In case of cancellation 30 days prior to the start of the course, payment will be refunded.
If cancellation is made less than 30 days prior to the start of the course, the sum will be withheld without reimbursement in any form.
No reimbursement will be made for partial attendance or if breaking off an already started course.

Single Room in Student apartment     Double Room in Student apartment
Single Room in Family Half board     Double Room in Family Half board