Type of subject Select... * Partner municipality Another public entity Association / Third sector entity School/University Private company Other

Name of the entity/organization

Tax code / VAT number

Headquarters (municipality and province)

Name and surname of the contact person

Role

Email

Phone

Title of the initiative

Type of initiative Select... * Event / Conference Publication Communication campaign Project Website / App Other

Brief description of the initiative

Start date

End date

Place

• Yes
• No

Other entities or partners involved (indicate if other logos appear)

• Institutional Mark
• Institutional mark Verticala
• Anci Lazio Giovani
• Anci Lazio Women's Consultative Council
• Anci Lazio Training
• Anci Lazio Consulta of the Small Municipalities
• Young Administrators' Council
• Anci Lazio Conference of Municipal Councils

• Print
• Web
• Social media
• Video
• Gadgets / Merchandising
• Signage / Installations
• Other

• Vector (AI / EPS / SVG / PDF)
• PNG
• JPG

Planned distribution (circulation, audience, territorial scope)

• I declare that I have read the regulations governing the use of the Anci Lazio trademark and I undertake to comply with them.

ApprovalA draft or mockup is required after the requested trademark has been entered for approval. The document must be sent by e-mail to the following address: comunicazione@ancilazio.it

• I consent to the processing of personal data in accordance with EU Regulation 2016/679 (GDPR)

Additional notes