Nome/Name________________________________________________

Cognome/Family Name________________________________________

Testata/Medium_____________________________________________
 

Rivista specializzata (  ) - quotidiano (  ) - televisione (  ) - radio (  )
Specialised Magazine (  ) - daily (  ) - television (  ) - radio (  )

fotografo (  ) - agenzia di stampa (  ) - ufficio stampa (  )
photographer (  ) - press agency (  ) - PR agency (  )

Indirizzo/Address_____________________________________________

Tel./Ph._______________________________cell./mobile_____________

Fax_______________________________________________________

Sarò presente a Lavagna si (  )  dal_____________al___________  no (  )
I will be in Lavagna yes (  )       from____________to___________ no (  )

Quando non sarò presente vi prego di inviarmi i comunicati stampa al
numero_____________________E Mail__________________________
When I won't be present please sent me press releases at the following
number____________________E Mail___________________________

quotidianamente (  )                    alla conclusione (  )
daily (  )                                    at the end of the event (  )
 
 

Vi prego di riservarmi imbarco su barca stampa/fotografi
Please reserve a place for me on the press/photographers boat

Si/yes (  )
dal/from__________________al/to______________________