Please compile the following form to send us an application or to receive information on our products
(*) not compulsory
name:
surname:
address: zip code:
city: tel:
fax:* email:
url:*
How did you discover our site?
message:*
Privacy
Privacy consent L. 196/2003:
According to the law 196/2003 on privacy protection, your personal data will remain confidential. In case you do not agree to insert your information into our data base, please de-select the proper check box. Taking note of the above information I consent to the use and communication of my personal data by "Glionna Bagno s.n.c. " within law's limits.
P.S. In case you do not consent to the use of your personal data, they will not be collected.