Pre-purchase card payment by bank transfer

Please fill in the form below.

The transfer should be made to Altrimenti Culture ASBL. IBAN: LU13 0024 0100 4409 6600. SWIFT: BILLLULL
(reference to be remembered when paying: Pre-purchase card, first name and surname).
The card will be sent to the address mentioned in the form.

Fields marked with an asterisk (*) are mandatory

Pre-purchase card by bank transfer

Association (if applicable)
Name of the Association RCS Number
First name - Last name (in the case of an association the person authorised to represent it)*
First name Name
Address (in the case of an association, the headquarters of the association)*
Mailing address City ZIP / Postal Code Country
Telephone*
E-mail*
Enter an e-mail Confirm e-mail
Value of the Pre-Purchase Card you wish to purchase.*
- 100
- 150
- 200
- 250
- 300
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Pre-purchase card payment by bank transfer

Pre-purchase card by bank transfer

ALTRIMENTI

EVENTS

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Pre-purchase card payment by bank transfer

Pre-purchase card by bank transfer

ALTRIMENTI

EVENTS

HOME

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