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Order
Company*
Product code
Contact name*
Nominal section
Address
Quantity
CAP
Single core
City
Bipolar
Province
Triple-pole
Telephone
Four-pole
Fax
Five-pole
E-mail
Request
the fields marked with* are obliged
Authorized
Not authorized
the treatment of my personal data in accordance with Italian law D.L. n° 196 dated 30th June 2003
Elettrobrescia s.p.a.
sede Via Bulloni, 36 - 25040 - Camignone di Passirano (Bs)
Cod. Fisc. - Part. Iva e Reg. Imp. di Brescia N° 02402600981 - REA 446996
Cap. Soc. € 2.500.000,00 - Versati € 850.000,00