Copy of the bank deposit receipt including your personal details and completed application form must be e-mailed or mailed to the following address:
Nicola Usai
Via delle Aquile 6
Phone: +39 - 070 523066
Email: rotaractqsemr@yahoo.it
Application Form
Lastname/Firstname:______________________________________________________
RotaractClub:_______________________________________District:______________
Male ( ) Female ( ); Date of Birth:_________________________
Address:______________________________________City:_____________________
Coutry:_____________________________ Zipcode: _____________________
Tel:___________________________________ Email:____________________________________
Special needs or comments: _______________________________________________________________________
_______________________________________________________________________
Arrival in Cagliari:
Date: ________________ Flight n°: ____________ Scheduled Time: ___________________
Departure from Cagliari:
Date: ________________ Flight n°: ____________ Scheduled Time: __________________