APPLICANT:

NAME:
SURNAME:
BUSINESS NAME:
ACTIVITY':
TELEPHONE:
FAX:
VAT:
ADDRESS:
ZIP CODE:
CITY':
COUNRTY:
NATION:
E-MAIL:
WEBSITE:

Specific Request:

In the total right and respect of the law 675/96 about the protection of personal informations, all of them will be kept inside out archive. Those informations will be used for the dispatch of the requested documentation. They won't be given to anybody else. It'll be possible, in any time, to ask an upload, to verify or to delete those informations with a simple comunication to: Ancellotti Elettromeccanica.

Elettromeccanica Ancellotti Ing. Giancarlo - Via Neri, 15 46023 Gonzaga (MN) - Tel 0376 58678 Fax 0376 528243 - info@ancellotti.it