Titolo prima parteInformation form

* Mittente -Sender- Expéditeur 

* E-mail

* Obbligatori - Compulsory - Obligatoires

Oggetto dell' Informazione / information required / Renseignements demandés

Nome / Prénom / First Name 

Cognome / Nom / Surname   

Indirizzo / Adresse / Address 

Cap / Code postal / Post-code 

Località / Ville / Town 

Nazionalità / Nationalité / Nationality        

Tel.             Fax.   


According to the law n° 675/96 on the protection of privacy i herewith authorise
La Paterna di Rigomagno
to use my personal data to send me offers and
advertising material about the structure.
To guarantee the reservation of the personal data them will not used to other purpose
or disclosed to third parties. When you want you could access to these data to modify them
or to deny their use writing or emailing to us.