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Only to be filled in by businesses: COMPANY NAME VAT NUMBER
FIRST NAME LAST NAME
STREET NUM ZIP
CITY DISTRICT
COUNTRY
TAX CODE TELEPHONE
E-MAIL PASSWORD
Declaration of consent to processing personal data. Having read the statement supplied by the data controller pursuant to Article 13 of Legislative Decree 196/2003, the undersigned agrees that the personal data gathered in this form may be used for the purposes stated in the aforesaid privacy policy statement.