Contact_FullName: Michele Rinaldi
Contact_Title: dr.
Contact_Organization:
Contact_StreetAddress: via Budrio
Contact_Address2: 41
Contact_City: Roma
Contact_State:
Contact_ZipCode: 00127
Contact_Country: Italia
Contact_WorkPhone:
Contact_HomePhone: 0652372893
Contact_FAX:
Contact_Email: rinaldimichele@hotmail.com
Contact_URL:
Personal_DateOfBirth: 14/02/1963
Personal_Sex: MAN
QUOTA:
VALUTE:
MEMBERSHIP: 1999
CAMPAIGNS:
mode: value2
card: VISA
CARDNUM: XXXXXXXXXXXXXXXXXX
DATAEXP: 30/06/01
CONFIRMMAIL: rinaldimichele@hotmail.com
BANKTRANSFER:
MAILTRANSF: