APPLICATION FORM

The fields marked * are necessary

PLEASE NOTE: for international deliveries, we demand CARRIAGE FORWARD and COD PAYMENT

NOTEHEAD
Name   * Surname   *
Company   * Address   *
City   * Country   *
Post code   * Phone   *
Mobile Phone     Fax    
E-mail     Web site    

 

ORDER
PIECES ITEM CODE SIZE

 

SPECIAL REQUESTS

 

REQUEST FOR CONSENT TO THE USE OF PERSONAL DATA

(Law 675/96)

 

We advise that your personal details are acquire and used in printed and/or in magnetic, electronic or telematic form with the sole intention of evaluating the possible interest in a future contractual relationship whose content is yet to be decided.

 

The user of these details is Pennellificio Zenit S.r.l.

 

In accordance with Law 675/96,

I consent to the use of my personal data:

 

Yes  No