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TO CONTACT US

LUNA s.r.l.
Via Cesare Battisti 12, 21100 VARESE (ITALIA)
P. IVA / C.F.: 13184550153

dott. Luca R. Carnevali
tel.: +39-0332.287472
fax: +39-0332.834310
mobile: +39-329.1924234
   info@luna-valves.it

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Application form

With this application form you can send us your request.
If you indicate your phone number or e-mail, we will contact you as soon as possibile.

- The fiels indicated with * are mandatory -

Name*

Company*

City

Nation

Telephone

E-mail*

Remarks*

I want to send me a copy

According to the Law 196/2003 regarding the respect of privacy, I, the undersigned, authorise LUNA s.r.l. to deal with and disclose my personal data in order to send me the brochure, to make the booking complete, to check-in and to the connected fiscal and account requirements.
According to the article 7 of the Italian decree 196/2003 I have the right to up-date, correct and cancel my data at any time, in this case I will inform LUNA s.r.l. in writing.
I AGREE
I DON'T AGREE
We remind you that your request will be delivered only if you agree the conditions above mentioned.

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