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To know you,
to serve you better

Reserved area registration

All fields are required

Company: 

Address:

Street: 

Postal code:   City:   State/Province: 

Country: 

Address of supply point: (only if different from above)

Street: 

Postal code:   City:   State/Province: 

Country: 

VAT number: 

Contact person: 

Telephone:     Fax: 

E-mail: 

Business activity or profession: 
Comments:



How did you hear about Repico?
(Your responses will help us to better focus our advertising)

      


Notice regarding our use of the data you provide:
Our intent is to protect the privacy of everyone. We do not like spam, nor those who sell client databases to third parties.
We will not only strigently protect your privacy in accordance with Italian law, we will also guarentee that the data you submit will only be filed or used in the following cases:
1. for a specific purpose (i.e.: quotes, invoices, and informing you regarding our services or pricing options);
2. to furnish you with information regarding specific products which may be of interest to you;
3. to contact you in response to your questions, requests for advise or other as stated by you in this form;
4. any information spontaneously communicated by visitors to this site;
5. our own analysis of data received to improve our services.
Outside of these five specific cases, no personal information is requested for access to the site, and none will be used for mail, e-mail, telephone calls or faxes.
Repico Spa. hereby guarentees that no information will be passed to third parties.

Permission is granted to store and use (as stated above) the information provided in this form: