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HOME > Contact us: Service request form
Services request form
 
- The fields marked with * are required;
- Pay attention to fill in a correct e-mail address, in order to be contacted by our personnel to receive your login and password for the reserved area.
Name and Surname *
     
Company *
     
Address *
     
City *   ZIP *
     
State
     
E-mail *
     
Phone * Mobile
       
Ask*:
 
 
Information note:
 
I hereby state that the Blue Box Group has provided me with the complete information note in accordance with Article No. 13 of Legislative Decree No 196/2003, together with information on the rights of the subject concerned under Article No. 7 of the same decree.
 
* I hereby consent to the data being used strictly in relation to the supply of services or for commercial communications related to this request.
Failure to grant consent to use the personal data shall prevent the Manager from providing the aforesaid services or commercial communications.
 
  I hereby consent to the mailing of communications by e-mail or telefax when sending advertising materials, for direct sale or for market research not strictly related to this contact request.
Failure to grant consent shall not prevent the company from providing the services or commercial communications referred to above.
 
(Check the box if you wish to give your consent)
 
 
 
 
 
BLUE BOX GROUP S.r.l. a socio unico
Sede legale: via dell'Industria 24 - 35028 Piove di Sacco (PD) Italia
Sede Operativa: via Valletta 5 - 30010 Cantarana di Cona (VE) Italia
Tel: 0426 921111 - Fax: 0426 302222 Cap. Sociale: 119.000,00 € i.v.
R.I./C.F./P. IVA 02481290282 - REA: 233202
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