ONLINE FORM

Fields in bold with an asterisk (*) are required.
First Name (*):
Surname (*):
Company:
Street:
Town/City:
Province: Postcode/Zip code:
Country:
Phone (*):
Fax:
E-Mail (*):
Website:
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requested
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Data Protection

In sending this form, customers guarantee that the data provided is true, and (with reference to Italian law 675/96 on data protection) give their consent for the data to be processed and declare that they have read the following information:

Information for the person whose data is held:

In accordance with Article 10 of Italian Law 675/96 on data protection, Ticomm & Promaco S.r.l. declares that:

  • We will not give your data to anyone outside our company.
  • You have the rights set out in Article 13 of Italian Law 675/96.