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User Registration Form

Insert/modify your personal data, necessary for the shipment of the goods. The fields marked with * are requested.

The requests will be considered by the company Lacea after validity data in this form

Customer Code
Company name*
Contact
Vat Number*
Address* City*
ZIP* Province* Nation*
Telephone* Mobile phone
Fax E-Mail*

REGISTRATION DATA:
Choose and insert here your User Name and Password:
Username*
(min 8 characters)
Password*
(min 8 characters)
Retype password*

OTHER:
Would you like to receive our newsletter?  
Notes


According with Italian law 196/2003 you authorize Lacea snc to insert and mantain your personal data in Lacea.it database.




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PLEASE NOTE: The recording is done with the first request
Lacea snc di Boscariolo Daniela e Francesca
Viale della Scienza, 9/11 - 36100 Vicenza - Italy
Tel. +39 0444 346073 - Fax +39 0444 346028
Copyright ©2007-2010 Lacea snc di Boscariolo Daniela e Francesca Sitengine