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Association Form for Individuals
For the CISVA President
Magnifico Rettore of the University of Salento
For the CISVA Director
Prof. Giovanna Scianatico
I hereby _______________________________________, in the role of (please specify qualification/role):
q Subject Professor ________________________________________________________
q Researcher______________________________________________________
q Doctorate in_______________________________________________________________
q Other (specify)___________________________________________________________
at(specify the institution):__________________________________________
request to become an associate with the “Centro Interuniversitario Internazionale di Studi sul Viaggio Adriatico” (CISVA).
Best wishes,
Place, date
Signature
Private address
Telephone
E-mail
Viaggi e Viaggiatori: Convegno Internazionale CICCRE, VII edizione.