Request for data





Company name:
Market sector:
Sales manager:
Address:
City:
Province:
State:
Postcode:
Telephone:
Telefax:
E-mail:
VAT registration number:
Chamber of Commerce nr.:

Bank reference:

Name of Bank:
City:
Account number:
Bank details:

Any references:

Notes:




The data will be electronically processed respecting the rights quoted in art. 13 of law 675/96. The owner and manger of this data is Fantasy s.r.l., Via N. Tommaseo 74, 51100 Pistoia (PT),in the person of their pro-tempore legal representative. In accordance with law 675/96 anyone sending information with this form is invited to consult the specific report. Sending data implicitly authorises processing of this data.

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