Ass./Ente/Ditta                                             Referente:

Indirizzo: Via/Piazza                                     Comune e CAP:

Telefono:                                                    Fax:

E - mail:                                                                                                                

Attività svolta:   Settore primario                        Settore secondario                    Settore terziario

                                        (segna il settore e specifica)                     (segna il settore e specifica)                     (segna il settore e specifica)

 

                                                    agricoltura                                             artigianato                                             animazione/turismo

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                                                    forestazione                                          edile                                                        amministrativo

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                                                    altro                                                        elettrico                                                  artistico

                                                -----------------------------                         -----------------------------                         --------------------------

 

                                                                                                                    elettronico                                             commercio

                                                                                                                -----------------------------                         --------------------------

 

                                                                                                                    metalmeccanico                                    educativo

                                                                                                                -----------------------------                         --------------------------

 

                                                                                                                    altro                                                        grafico

                                                                                                                -----------------------------                         ---------------------------

 

                                                                                                                                                                                    informatico

                                                                                                                                                                                ---------------------------

 

                                                                                                                                                                                    marketing

                                                                                                                                                                                ---------------------------

 

                                                                                                                                                                                    lingue

                                                                                                                                                                                ---------------------------

 

                                                                                                                                                                                    ristorazione

                                                                                                                                                                                ---------------------------

 

                                                                                                                                                                                    servizi alla persona

                                                                                                                                                                                ---------------------------