SRS Lucisano Srl

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Information Request Form

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 Business  Private Customer
 
Title  
First Name  
Last Name  
Company  
VAT Number  
Address  
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Privince/State  
ZIP Code  
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E-mail  
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Phone number  
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Message  


Information concerning the use of personal details as per Legislative Decree 196/2003

Personal details will be managed by S.R.S. Lucisano Srl, also using electronic and/or automated systems, exclusively to provide an answer to your specific requests. Supply of personal details is optional: however failure to supply such data and the authorization to use as indicated will make it impossible for S.R.S. Lucisano Srl to respond to information requests. As per Art. 7 of Legislative Decree 196/2003, user have the right to access their personal details and to require their modification, correction, integration or, under appropriate circumstances, their removal or suspension.

I have read and understood the above and I agree to the conditions of use by S.R.S. Lucisano Srl.
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S.R.S. LUCISANO Srl - Via Asti, 2 - IT 20093 Cologno Monzese (Milano) - Italy
Phone: +39-02-2543730 / 2538772 - Fax: +39-02-2538349
Web: www.srslucisano.com - E-mail: info@srslucisano.com - Skype: srslucisano

VAT IT02827360963 - Italian Fiscal Code 02827360963