Request of Information and/or Orders

Sent from:
Name Surname
Company
Office's address:
Address
City Postal code (ZIP code) State
Phone nr. Fax nr.
E-mail
Request of information, orders, remarks, questions:

According to the italian LW 675/96 about protection of the personal data, I autorize the Adrel S.p.A. to deal with the data I sent for internal activities.
Moreover I declare to have looked over the following information. Law 675/96.
       
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