persons
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e-mail*:

request*:

Name*:

surname*:

address:

city:

ZIP:

country*:

telephone/cell:

fax:

Yes, I hereby authorise the use of my personal data

In compliance with italian law no. 196 of 30 June 2003, declares the data gathered here is for purpose of registering and activating an information service for the user. The data will be treated electronically in accordance with the law in force. In pursuance of art. 7 of the law 196/2003 you may at any time exercise your rights towards the data processing holder.