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01. Full name of user
02. VAT Number
03. Street and number of estate
04. Zip code
05. Locality
06. Country
07. Telephone 1
08. Telephone 2
09. Fax
10. E-mail
11. www
12. Legal form
13. Year of foundation
14. Management 1
15. Position 1
16. Management 2
17. Position 2
18. Person designated to contact
19. E-mail of person designated to contact
20. I agree on receiving information about offers
from Trade Ent. "ARTPOL" by electronic road
21. I’m interested in the contact with sales
representative of Trade Ent. "ARTPOL"
22. 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.