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Created with Fabric.js 1.4.5 Your advice_________________________________________________________________________________________________________________________________________________________________________________________________________ Signature____________________________ FONDAZIONE BISAZZA | VISITOR QUESTIONNAIRE I consent to the use of my personal data according to information provided in accordance to art.13 of Legislative Decree 196/03. Please note that the data you have entered in this form will be used to update the Bisazza Foundation database, which is used for informative and promotional activities relating to the Foundation exhibitions and events. Date_____/_____/_____ THANK YOU FOR YOUR COLLABORATION The Bisazza Foundation, in generalInformation material (Depliant)Welcome and organizationRoad signs to reach the Foundation Very Good Enough satisfactory Good Excellent Unsatisfactory ) Would you like to receive updates on the Foundation activities ? YES NO How did you know about the Foundation?Invitation to a vernissagePressRoad signsDepliantEmail | NewsletterWeb Site | FacebookTVOther________________________________________ Is this your first visit to the Bisazza Foundation? YES NOIf not, when did you first visit the Foundation?________________________________________________________ _________________________________________________________ _ La Fondazione Bisazza informa, ai sensi degli art.7 e 13 Codice Privacy D.Legs 193/06, che i suoi dati personali saranno trattati in ottemperanza al Codice Privacy anche con mezzi manuali e/o informatizzati per scopi promozionali, pubblicitari e informativi riguardanti le attività della Fondazione sia direttamente che attraverso società ad essa collegate. Autorizzo la Fondazione Bisazza a tali trattamenti ai sensi dellart. 23 Codice Privacy. In ogni momento, a norma dellart. 7 Codice Privacy, si potrà avere accesso ai propri dati, chiedere la modifica o la cancellazione, scrivendo a Fondazione Bisazza viale Milano, 56, 36075 Montecchio, Vicenza, Italia tel +39 0444707690 Name*__________________________________________________________Surname*__________________________________________________________Address______________________________________________________________________________________________________________________City*___________________________________________________________Country*___________________________________________________________Email (Please fill in CAPITAL LETTERS )*___________________________________________________________Phone___________________________________________________________Date of Birth___________________________________________________________Education______________________________________________________________________________________________________________________Profession*______________________________________________________________________________________________________________________*required fields Name*__________________________________________________________Surname*__________________________________________________________Address______________________________________________________________________________________________________________________City*___________________________________________________________Country*___________________________________________________________Email (Please fill in CAPITAL LETTERS )*___________________________________________________________Phone___________________________________________________________Date of Birth___________________________________________________________Education______________________________________________________________________________________________________________________Profession*______________________________________________________________________________________________________________________*required fields Please give us your opinion about (
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