*Υποχρεωτικά πεδία

ΟΝΟΜΑΣΙΑ ΚΕΝΤΡΟΥ*

ΑΤΟΜΟ ΕΠΙΚΟΙΝΩΝΙΑΣ*

ΜΟΝΤΕΛΟ INDIBA®*

ΣΕΙΡΙΑΚΟΣ ΑΡΙΘΜΟΣ*

ΔΙΕΥΘΥΝΣΗ*

ΤΑΧΥΔΡΟΜΙΚΟΣ ΚΩΔΙΚΑΣ*

ΠΟΛΗ*

ΤΗΛΕΦΩΝΟ1*

E-MAIL*

WEBSITE*

ΕΧΤΕ ΛΑΒΕΙ ΕΚΠΑΙΔΕΥΣΗ *
 ΝΑΙ OXI

 Φυσικοθεραπεία και αποκατάσταση Πυελικό Έδαφος Αισθητική Φυσικοθεραπεία

In accordance with the provisions of art. 5 of Law 15/1999 on Protection of Personal Data (LOPD), we inform you that your personal data will be part of a file holder which is INDIBA SA, in order to manage our customer database and suppliers.
It also explicitly authorize that your personal and professional data provided in this form will be posted on our website, which lists the ratio of companies that sell products INDIBA.
You can exercise your rights of access, rectification, cancellation and opposition by written notice, attaching photocopy of identity card or equivalent identification document, to INDIBA SA C / Moianés, 13 - Pol Ind Casablancas -.. 08192 Sant Quirze del Vallés (Barcelona) - Spain. You can also exercise their rights by sending an email signed with electronic signature to the address info@indibaactiv.com