MOTIVE FOR THE APPLICATION: ASKED FOR OFFER /  ORDER
THE APPLICANT'S DATA  

Name Surname *

Costumer *

Office

Street *

City *

E-Mail *

Telephone *

Fax

OBJECT OF THE APPLICATION OF OFFER

Reason *

Tipology *

Description of works *

Previewed amounts *

Place of execution *

Time on hand in order to evade the offer *

Previewed date of execution *

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Sending this form him consents to the treatment of the personal data to the senses of the Legislative Decree n.196/2003.