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- Via alla Ruenia, 37/43 - 64027 Sant’Omero (Te) - Italy
OPPURE VIA FAX AL NUMERO:
+39 0861 88 78 62
O VIA E-MAIL:
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Ditta/Ente____________________________________________________________________________________________________________________________
Indirizzo _____________________________________________________________________________________________________________________________
CAP______________ Città _______________________________________________________________________ Prov. __________________________________
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Si, inseritemi nel vostro database per:
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Ricevere l’invito per le demo e la presentazione in anteprima dei nuovi prodotti
Per consenso espresso al trattamento dei dati personali a fini statistici e promozionali della vostra società, presa visione dei diritti di cui all’articolo 13 legge
675/1996.
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OTHERWISE FAX TO:
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OR BY E-MAIL:
Name ________________________________________________________ Surname _________________________-_____________________________________
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Address _____________________________________________________________________________________________________________________________
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Date ________________________________ Signed __________________________________________________________________________
FOTOCOPIAR ESTA PAGINA, COMPILAR Y RESPEDIR EN SOBRE CERRADO EL COUP
Ó
N ABAJO REPORTADO:
PROEL S.P.A.
- Via alla Ruenia, 37/43 - 64027 Sant’Omero (Te) - Italy
O EL FAX AL NÙMERO:
+39 0861 88 78 62
O TRAMITE E-MAIL:
Apellido ________________________________________________________ Nombre ______________________________________________________________
Compañia/Instituci
ón
__________________________________________________________________________________________________________________
Direcci
ón
____________________________________________________________________________________________________________________________
C
ódigo postal ______
_________ Ciudad _________________________________________________________________________________________________
Tel. ____________________________ Fax. ____________________________ E-mail ______________________________________________________________
Producto _____________________________________________________________________________________________________________________________
Nombre revendedor __________________________________________________________________________ Fecha de compra ___________________________
Si, pueden enserirme en el vuestro data base para:
Poder recibir depliants de nuevos producto
Recibir la invitaci
ón para las demostraciones y la precentación en anteprima de los nuevos productos
Vuestros datos personales ser
á
n protegidos por la ley italiana art. 13 ley 675/1996.
Fecha ________________________________ Firma __________________________________________________________________________
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