Association Form for Istitutions
For the CISVA President
Magnifico Rettore of the University of Salento
For the CISVA Director
Prof. Giovanna Scianatico
We hereby _____________________________(name of the institution) request to become an associate member of the “Centro Interuniversitario Internazionale di Studi sul Viaggio Adriatico” (CISVA).
We therefore nominate _______________________ (name and surname of referee/point of reference) as the person/body chosen by us to represent us regarding any contact and relations with the centre,
Best Wishes
Place, date
Signature
Private Address
Telephone
E-mail