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Do you want to become a customer of our cash and carry? You need only to fill these areas. In a few time you will receive by mail the Migro card that allows you to buy high quality products at reasonable prices.
Company's data
Name of the firm
Name and surname of the legal representative
Address
Zip code
City
District
T.V.A.
Telephone
Fax
Chamber of commerce, handicraft and agriculture registration N.
Court registration N.
of
Company activities starting date
Group or association belonging to
Type of activity
Last yearly turnover
N°of shops

AUTHORIZATION TO USE PERSONAL DATA
In relation to my request and to the rights recognised by the law 675/96 (section n.13)

Authorize Not Authorize

under the section n. 11, 20 and 22 of the mentionned law, the usage of my personal data (communication and spread included) only for the purposes allowed.