Company
Addres
Postal Code
Country
City
Phone
Fax
Notes
Request of
phone contact
Request of
company catalogue

Personal information who compile this form:
Name Surname
 
Position in company:
E-Mail:
 

Information approximately the collection of the data from part of the Speedy 97, in conformity with article
10 of italian law number 675/96.
The data come collected to the aim to supply the demanded information. The person or company enjoys
the rights of which article 13 law 675/96.
Taken action of the informative one which over, I authorize the treatment and the communication of my data from part of the Speedy 97 to you in the limits
of which to the same one
.