Sign up - Car Sharing Roma

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Name*

Surname*

Phone No.*

International format. E.g. +39 XXXXXXXXX

Email*

Password*

Minimum 8 characters including at least: one uppercase character (A-Z), one lowercase character (a-z) and one number

Repeat the password*

Personal details

Country of birth*

City of birth*

Province of birth*

Date of birth*

Tax ID *

Sex

License

Nationality of the license*

Place of issue*

License number*

License issue date* License B or higher issued

License expiry date*

Issuing institution*

Pursuant to the provisions of the Regulation, I DECLARE that I have been the holder, for over 1 year, of a valid driving license (category B license or equivalent), obtained in Italy or in one of the foreign countries listed.

Residence details

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City *

Province *

Address *

Street number *

Zip code *

Family details

Family name

Family E-mail Address

Billing details

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Address *

Street number *

Zip code *

Select the products to be associated with your family plan

Basic services subscription

PLEASE NOTE: DEBIT AND / OR PREPAID CARDS ARE NOT ACCEPTED

Ho letto ed accetto integralmente le condizioni contrattuali e l’informativa per il trattamento dei dati personali.

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Householder