COUPON FOR INFORMATION INQUIRY

I wish to receive without any commitment on my behalf:	
	the firm’s brochure	
	information about:		

Category:

	private		religious community		designer		enterprise		other	

Interest in
glass windows / fittings destined to:

	Private house		public place		church or community place	

Name		Surname		
Address		
Zip code		Locality		Prov.		
Tel.		Fax		E-mail		

Seen the information contained in the art. 13 of the Law 196/2003, I authorize the handling of my personal data in compliance with the mentioned Law on Privacy..

Send in closed envelop to:

F.lli Serafino S.n.c.
Z.I. Ctr. S. Giuseppe
73013 Galatina LE Italy

	
Signature	
	
Send via fax	
to 0836 523877