Untitled Document

*`Name :`**
*`Surname:`**
*`Firm:`**
*`Address:`**
*`City:`**
*`Telephone:`**
*`Fax:`**
`E-Mail :`
*`Secotr of activity:`**
`Territorial extension:`
*`Function held in the firm::`**
*Comments / Requests:*
*`` According to the law 675/96 we remind you of the existence of the rights that the same law reserves to those who give their personal data and, in particular, of the right to verify and request its cancellation. Filling in this form, you consent to the collecting of the personal data and to the communication to our trading partners, in order to receive information and trading In case of disagreement put a cross here. In caso di dissenso barri la casella qui a fianco**