Name:
Permanent Mailing Address in Country of Origin
Street
Street No.
City
State/Prov.
Country
Postal code
Permanent Phone Number:
Italian Phone Number:
Email address:
School/University:
Disclaimer:
It remains agreed that CLUB PALAZZO TORNABUONI shall not distribute, sell or in any way disclose to any third party whatsoever the personal data I just surrendered and shall use such data only in connection with the lotteries referred to herein. CLUB PALAZZO TORNABUONI shall also treat such data in compliance to Italian Laws on Privacy (D.lgs. 196/2003) and correct them or eliminate them forthwith from its systems upon simple requests from myself or from the persons indicated herein. The person responsible of processing the mentioned data is the “Legal Representative” of the CLUB PALAZZO TORNABUONI who may be contacted at its offices in Florence, Piazza Strozzi, 1.
I agree
