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Fields with the * are compulsory
Surname Name*
Company
VAT
Web site

E-mail*
Telephone*
Fax
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Address*
City*
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Customer Code
Password*
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Privacy document and consent to other non compulsory data treatment - arts. 13 and 23 of the L.D. n. 196/2003 (pc. “Privacy Code”)
Marketing aim [read ]
Consent to the handling of data by CHINESPORT REHABILITATION and MEDICAL EQUIPMENT S.p.a for the aims of marketing, with the traditional ways, such as the use of traditional mail and calls managed by an operator as well as automatic ways, such as the use of automatic systems of calls without an operator or by means of e.-mail, even with an established freqquency (newsletter), telefax, MMS messages (Multimedia Messaging Service) or SMS messages (Short Message Service) or any other type.
 
 
By submitting the 'send request', I confirm my request of the above mentioned Service and give my consent to the treatment of my personal data for such aims, and for any other aims for which I have given specific consent.
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