Owner Data and Billing Data Form

Name and Surname or Business Name (if Company): *

Legal Form (if Company):

Fiscal Code or VAT:

Address: *

Birth place (if Person):

Name and Surname (Referral): *

Referral Role: *

Country: *

Province: *

Postal Code: *

Phone: *

Fax:

Website:

Contact Email: *

Confirm Contact Email: *

Email PEC (Certified Email):

Are the Owner Data identical to Billing Data? *
(if different, please fill out the form on the right)
Si No

Notes:

I authorize the processing of personal data in accordance with
privacy policy ex Regulation (UE) 2016/679, 27 april 2016 *

Name and Surname or Business Name (if Company): *

Legal Form (if Company):

Fiscal Code or VAT number:

Address: *

Country: *

Province: *

Postal Code: *

Phone: *

Fax:

Website:

Contact Email: *

Confirm Contact Email: *

Email PEC (Certified Email):

Notes:

I authorize the processing of personal data in accordance with
privacy policy ex Regulation (UE) 2016/679, 27 april 2016 *