Brochure request form

First and Last Name*:
Email Address*:
Company Name*:
Company Job Title*:
VAT (EEC countries)*:
Company Address*:
ZIP*:
City*:
District*:
Country*:
Phone*:
Fax*:
Company Web Site:

* Required field

Select please your business activity

architects and designers	automotive	contract
shipyards	upholsteries	coverings

furniture industry

other (specify)

Brochures

Please tick the samples/brochure you would like to order and insert the quantities:

LeatherMotive	60€ each	sample	quantity
Movida	60€ each	sample	quantity
Reliance	60€ each	sample	quantity
Ios	10€ each	brochure	quantity
Furniture by Aquastop	60€ each	sample	quantity
Raincover by Aquastop	60€ each	sample	quantity
Sailmaking fabrics	60€ each	sample	quantity

Should you need the visit of a salesforce?

no

yes

Notes

Please insert the text as you see in the image in the form below

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REQUEST OF PERSONAL DATA - Data Protection Policy art. 13 Legislative Decree no. 196/2003.

By filling the above stated form in every field and by clicking on the button "Send" you agree with the processing of sensitive personal data provided for by art. 13 Legislative Decree no. 196/2003 to be electronically handled and used for the sending of commercial newsletters, advertising materials, free gifts and opinion inquiries from Sailmaker International Srl (art. 13 Legislative Decree no. 196/2003).
Pursuant to and in accordance with art. 13 Legislative Decree no. 196/2003 you could modify or cancel your personal data at any moment by simply writing to cc.si@sailmakerint.com