Purchase Date
Installation Date
Seller
Installer
Stove Data
Last Name First Name
Street n°
ZIP City Prov.
Telephone e-mail
Purchase Date
Seller
Installer
Stove Data
The customer declares that he/she has read the guaranty and the user manual.
Date_____________Signature_______________________________________
By signing this consent form, I confirm that pursuant to the provision of Art.13 and 23
L.196/2003 on Personal Data Protection. Ungaro S.r.l. personal data above for the purpo-
ses of sending marketing communication, and information of commercial and advertising
nature and make such data available to a data processor under the terms and conditions
set out by the Personal Data Protection Act. I acknowledge my right to access the
personal data, edit it, and to withdraw this consent at any time in a written notice
delivered to: Ungaro S.r.l. - Via S. Mango 2 - 88040 S. Mango D’Aquino - CZ. Providing
my personal data is voluntary: in the lack of them Ungaro S.r.l. cannot provide services
mentioned above. By signing below I express my consent to personal data processing.
Date_____________Signature_______________________________________
To cut and to sendo to Ungaro S
.r.l. within 8 da
ys of the date of purchase. Fill in all the fields in readable form
