| Company* |
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| Name and surname* |
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| Which of the following categories do you belong to?* |
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| Address* |
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| Postal code* |
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| City* |
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| Province or State |
Only Italy
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| Country* |
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| Telephone* |
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| Fax* |
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| Mobile |
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| E-mail* |
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| WEB site |
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| How did you get to know about Master Italia S.p.A.? |
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| I wish to receive a catalogue |
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| I wish to be contacted by telephone |
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| I wish to be contacted by a salesman |
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Other information:
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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
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.
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