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Name / s: E-Mail: Information:
Company: CIF / NIF:
Address:  
 
Location: County:
Postal Code: Contact Phone:

I agree that, in accordance with Law 15/1999 on Protection of Personal Data, the data provided in this questionnaire are incorporated into databases Vical Home SL, the corresponding file recorded in the Spanish Data Protection Agency data. It is further reported that, from this moment, I can exercise their rights of access, rectification, cancellation and opposition established in the Act, addressing the head office in c / Pol Ind. Carrascot s / n, 46850 located in l'Olleria (Valencia), the phone 962 200 060, or by....

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