Micu3000 Membership Request.pdf

The document is a request for membership and adhesion to the association "MICU3000 a.p.s." promoted by the Gruppo ETAV onlus Cooperative. The form should be delivered directly to the headquarters or via email in PDF format to [email protected]. Personal details such as name, birthdate, residence, tax code, and contact information are required. The applicant can choose between 'associato - ordinario' or 'sostenitore' membership and must agree to respect the association's statute, regulation, and values.

The payment of the membership fee is mandatory at the time of adhesion. Non-payment annuls the adhesion and the application cannot be processed. In case of economic difficulties, an appropriate form and ISEE model should be attached.

The applicant can also declare a dispute with another entity and request an appointment with the association to discuss the issue and find a solution. They must provide details about the dispute and any specific notes for the appointment.

The applicant must give consent for the treatment of their personal data for statutory purposes and for communication to collaborating entities. The data controller is the Gruppo ETAV Onlus cooperative, and the data processor is Dr. Claudio Greggio.

The document ends with two signature fields, one for the applicant and one for consent to data treatment.