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REQUEST
Name:
Surname:
Address:
ZIP:
City:
Country:
Sate:
Tel.
Fax:
E-Mail:
Can I send you a picture of your patron saint?
Job:
City:
Life situation :
Weather:
Illness:
Private
Retailer
Your request -WE CALL YOU BACK
( PLEASE TYPE THE CALL BACK TIME )
between
13.00
14.00
15.00
16.00
17.00
18.00
19.00
20.00
21.00
22.00
23.00
24.00
01.00
02.00
03.00
04.00
05.00
06.00
07.00
08.00
09.00
10.00
11.00
12.00
and
13.00
14.00
15.00
16.00
17.00
18.00
19.00
20.00
21.00
22.00
23.00
24.00
01.00
02.00
03.00
04.00
05.00
06.00
07.00
08.00
09.00
10.00
11.00
12.00
PRIVACY STATEMENT FOR THE PROCESSING OF PERSONAL DATA Law 675/96: The Italian Law n. 675 dated 31 December 1996 regulates the protection of persons and other entities with respect to the processing of personal data and the obligation of confidentiality. According to art. 10 of the law 675, the firm Comploj Albert, responsible of the data processing, must provide specific information to the persons sending messages in relation to the purposes and methods of the data processing.
I agree
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