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*Polska
01. Full name of user
02. VAT Number
PL
03. REGON National Register of Economic Units
04. Street and number of estate
05. Zip code
 - 
06. Post
07. Locality
08. Province
09. Telephone 1
10. Telephone 2
11. Fax
12. E-mail
13. www
14. Legal form
15. Year of foundation
16. Management 1
17. Position 1
18. Management 2
19. Position 2
20. Person designated to contact
21. E-mail of person designated to contact
22. I agree on receiving information about offers
from Trade Ent. "ARTPOL" by electronic road
23. I’m interested in the contact with sales
representative of Trade Ent. "ARTPOL"
24. Language
 
* required fields
Remarks:
I agree on processing my data, that are included in this registration form, by Trade Enterprise "ARTPOL" – Artur Poplawski seated in Radom, 177/179 Warszawska Street
as well as by subjects to whom Trade Enterprise "ARTPOL" – Artur Poplawski charges essential actions to come into contact and over which holds the full control
in the range essential to assure protection of personal data.
I was informed about an access to my data, their improving as well as withdrawal of agreement on their processing in marketing purpose, which entitles me.
According to law about providing services by electronic road, of 18th July 2002, I express my agreement to Trade Enterprise "ARTPOL" – Artur Poplawski to contact
me by electronic road.
Are you sure?
All required fields should be filled correctly.