Registration form for CIUFFOGATTO customers

Caution: please look at the information about Italian privacy protection law

Surname/name: *
Company: *
VAT number*
Address: *
ZIP Code: *
State/province: *
Country: *
Phone number: *
Fax number:
E-mail: *
I would like to receive documentation and offers about Your products:
I would like to get in touch with Your agent:
I would like to reach Your price list and trolley for on-line purchases (B2B):

Fields marked by an asterisk are compulsory.

You will receive Your user-id and password, to enter the restricted area, in Your e-mail.

We authorize CIUFFOGATTO S.r.l. Unipersonale to show our company in the Shop Center

Rule about persons and other parties protection concerning personal information treatment.
Law of 31 December 1996, n° 675 tells that communication and diffusion of personal information are allowed with the agreement of the interested subject.

Declaration
Ciuffogatto S.r.l. Unipersonale informs that collecting of all data and every treatment of those ones will be held just for the declared purposes and in any case by protecting privacy and safety. All information will not be given to third parties unless under the agreement of interested users.

Agreement
After reading the information according to law 675/96 (privacy protection), by sending this form, I agree to treat data sent by me, JUST for the purposes already shown. Data collected can be given to third parties only under my agreement.