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Name*		Surname*
Address		zip code
City/Town*		State*
Profession*		other
Phone number*		E-mail*
Course*
According to the Italian laws (D. Lgs.vo 196/2003) about personal information protection, we inform you that the company ASA s.r.l., in charge of your private data, guarantees the maximum confidentiality of the supplied data and that treatment of the personal data you provide us has the only purpose of allowing us to execute the services required. We will treat your personal data with lawfully and with full protection of the rights and particularly of the privacy of the person involved. With this aim your personal data will be communicated to a third party only with the same purposes. By filling in and sending this form you will express your consent to our use, disclosure or retention of your personal data and you will be allowed at any time to ask for updating, rectification or erasure of the data from our database, by sending an e-mail at or a fax at +39 0444 289080.