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The undersigned accepts expressly the
general conditions about personal data treatment
according to the law D.Lgs. 196/2003.

    
I agree general conditions about personal data treatment
according to the law		 I agree I don't agree

Authorize the processing of personal data, including
e-mail offers for products or services
from this company:		 I don't agree
 
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mail: info@breakservice.com

Via Colle Verde, 17 40069
Zola Predosa (BO)

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