Last Name First Name
Street n°
ZIP City Prov.
Telephone e-mail
Purchase Date
Seller
Installer
Boiler/Thermostove 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 purposes 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
Purchase Date
Installation Date
Seller
Installer
Boiler/Thermostove Data
