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ITALIANO
Information Request Form
Required fields are highlighted in blu.
Business
Private Customer
Title
First Name
Last Name
Company
VAT Number
Address
City
Privince/State
ZIP Code
Country
E-mail
Web
Phone number
Mobile number
Fax number
Message
Information concerning the use of personal details as per Legislative Decree 196/2003
Personal details will be managed by S.R.S. Lucisano Srl, also using electronic and/or automated systems, exclusively to provide an answer to your specific requests. Supply of personal details is optional: however failure to supply such data and the authorization to use as indicated will make it impossible for S.R.S. Lucisano Srl to respond to information requests. As per Art. 7 of Legislative Decree 196/2003, user have the right to access their personal details and to require their modification, correction, integration or, under appropriate circumstances, their removal or suspension.
I have read and understood the above and I agree to the conditions of use by S.R.S. Lucisano Srl.
YES
NO
S.R.S. LUCISANO Srl
- Via Asti, 2 - IT 20093 Cologno Monzese (Milano) - Italy
Phone: +39-02-2543730 / 2538772 - Fax: +39-02-2538349
Web:
www.srslucisano.com
- E-mail:
info@srslucisano.com
- Skype:
srslucisano
VAT IT02827360963 - Italian Fiscal Code 02827360963
