MEMBERSHIP

The club LIBERTY TO FLY is a private club, to gain access to the club you must send a request in advance, and only after the acceptance of the same, attendance is possible.

Should you like to associate to the club LIBERTY TO FLY, please fulfill the form below completely. The form does not certify automatic enrollment, as it must be accepted by the board.

call us up at 334.20.27.099 the following day to become aware of your registration.

It is needed a request for each person and, of course, data must be truthful.

(we remind you that it is a self-certification and that you take responsibility for what you write)

Should you like, please fulfill “Personal Notes”: those notes will help us to know you and your desires, helping us to understand if our association suits you.

CLUB LIBERTY TO FLY
PRIVATE CLUB
SELF CERTIFICATION

I declare, as per Article 20 of Law No. 15 04/01/68, the accuracy of my personal data, aware of criminal liability in the event of false statement.

I ASK

To be admitted to the Association “LIBERTY TO FLY” located in MONZA, 190 Via Borgazzi, as a member. By signing this application I hhereby elect to reside, for the purposes of community life, at the headquarters of the Association, and I pledge to accept and observe, and fully enforce  even by family and any guests, the statute and the rules that I approve and I declare that I have read. The amount paid as a contribution is to be understood as the advance fee and partial reimbursement for the costs of secretarial, management and promotion, as well as any voluntary contributions in cash or assets that I could later pay to the Association
I approve the clauses of the Statute concerning purpose, the admission and exclusion of members, the election of domicile (for purposes of community life), the active and passive voting, the powers of the Governing Council and the arbitration clause.

FILL AND SEND THE FORM BELOW

We are
 Couple man woman

Name

Surname

Address

Town

Country

Document Type
 Identity Card Driver license Passport

Document Number

Issued by

on

Expiring date

e-mail

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I confirm I read information about the processing of my personal data, the purposes of the Private Club, rules and ethical meaning of this Association. I hereby declare to be of age and aware, according to Rule 196/2003 and following amendments.

Copy the code and send the registration

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