Registration Form

Personal Data
Your full Name *
Company
Tax ID
Address (for invoicing and shipping)
Street Address *
Zip Code *
City *
State (US)
Province (Outside US)
Country *
Alternative Address for Shipping
Please fill in the next section if the shipping address is different from your own invoicing address.
If you want to get your order at your office door, please use your office address below.
USE this alternative address for Shipping
Name & Surname or Company name
Street Address
Zip Code
City
State (US)
Province (Outside US)
Country

Contacts
Phone Country & Area Code *
Phone *
Cell Phone International & Area Code
Cell Phone
Fax
Skype ID
E-Mail *
E-Mail Confirmation *
WEB Site

Login Data
Username *
Password *
Confirm your Password *

I want to receive Alerts about new Products

PRIVACY STAMENT - In accordance with the Italian law D.lgs. 196/2003, about the protection of personal data, Cooperativa iniziative e studi UPIAR s.c guarantees that the management of your personal data and/or your company's data will be ruled by principles fully inspired by correctness and clearness, as well as by the protection of your personal data and your rights.
Providing your data, you agree they could be used by Cooperativa iniziative e studi UPIAR s.c for the delivery of an occasional Newsletter or other communications sent by E-Mail, as well as by other means.
On the ground of Article 7 of the above law you can change your data o ask for their deletion (sending an E-Mail message to info@upiar.com) at any time.


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