Contact_FullName: Raffaella Ravinetto
Contact_Title: Pharmacist
Contact_Organization:
Contact_StreetAddress: via San Giovanni in Valle
Contact_Address2: 18
Contact_City: Verona
Contact_State:
Contact_ZipCode: 37129
Contact_Country: Italia
Contact_WorkPhone: +38981623303 (Montenegro)
Contact_HomePhone: +39 045 8003701
Contact_FAX:
Contact_Email: raffa-ella@usa.net
Contact_URL:
Personal_DateOfBirth: 08/07/66
Personal_Sex: WOMEN
QUOTA: 365000
VALUTE: ITL
MEMBERSHIP: 1999
CAMPAIGNS:
mode: value2
card: VISA
CARDNUM: XXXXXXXXXXXXXXXX
DATAEXP: 28/02/02
CONFIRMMAIL: raffa-ella@usa.net
BANKTRANSFER:
MAILTRANSF: