NEW CLIENT APPLICATION FORM
To become a new Master Italia S.p.A. client fill in and send the here attached application form or if you prefer you can send the same form by making a print out and sending it via fax to +39 0421 307355.


* = required fields
Company*
Contact person*
VAT Number*
Address*
Postal code*
City*
Province or State Only Italy
Country*
Telephone*
Fax*
Mobile
E-mail*
WEB site
Are you are partner/member of any association? YES     NO
If yes -which? N°:    Association
Which of the following categories do you belong to?*    other:
How did you get to know about Master Italia S.p.A.?
How long has your company been working in this sector?*
What is your potential annual turnover?*
Which of our lines are you most interested in? TARGET®     ATLANTIS®     KEYONE®    
What type of relationship were you wishing to develop with Master Italia S.p.A.?* Occasional     Continuative
Do you have at your disposition an internet connection which enables you to order on-line?* YES     NO
Which hat sets were you thinking of buying?* 24 pcs     144 pcs     over 144 pcs
IF YOU WOULD LIKE TO INSERT ANY INFORMATION RELATIVE TO THE MAIN COMPONENTS OF YOUR COMPANY PLEASE DO SO HERE UNDERNEATH
NAMEJOBTELEPHONEFAXMOBILEE-MAIL
WRITE HERE A COMPANY PRESENTATION:*
Once we have verified the above information to be exact and true, we will send you a Username and Password to enter the reserved area.
With the intervention of the new privacy regulations, Master Italia S.p.A. would like to inform you that:
1) The information you have provided will be registered on a protected electronic support system and will be used for: - sending informative or promotional material about our products.
2) The insertion of data about the fields which are not obligatory to fill in and are at your discretion, are necessary for us to supply you with all the opportunities and promotional initiatives reserved for our clients.
3) Master Italia S.p.A. is the owner of the information given in the form of its legal representative in relation to art.13 of the law in question, this data can be changed or modified or cancelled by you via a recorded communication means to:

Master Italia S.p.A.
Via Giorgio la Pira n. 19
30027 San Dona' di Piave (Venezia) - Italy
Tel. : +39 0421 571111 - Fax : +39 0421 307355


Endorsement agreement

In relation to what is foreseen in article 11 , law no .675 31 December 1996 the underwritten declares to be adequately informed in relation to what is foreseen in article 10 , and in article 13 of the law , authorizing the company MASTER ITALIA S.p.A. to provide me with the data as indicated in point 3.


I declare to have read the sales general conditions*