From: "dannymilano" Subject: RICHIESTA DI PARTECIPAZIONE ALLA TRASMISSIONE Date: Tue, 31 Jan 2006 15:50:17 +0100 MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_000_009B_01C6267E.12F9E6A0"; type="multipart/alternative" X-Priority: 3 X-MSMail-Priority: Normal X-Unsent: 1 X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2900.2180 This is a multi-part message in MIME format. ------=_NextPart_000_009B_01C6267E.12F9E6A0 Content-Type: multipart/alternative; boundary="----=_NextPart_001_009C_01C6267E.12F9E6A0" ------=_NextPart_001_009C_01C6267E.12F9E6A0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable =20 RICHIESTA DI PARTECIPAZIONE ALLA TRASMISSIONE compila il questionario ed invia via e.mail: INVIA ALL'E.MAIL = info@dannymilano.com o via fax.0444.350096 DATA =20 =20 COGNOME =20 =20 NOME =20 =20 RESIDENTE A =20 =20 VIA=20 =20 =20 TELEFONO =20 =20 COMPONENTI CENA N=B0 =20 =20 NOME,ETA, PROFESSIONE =20 =20 NOME,ETA, PROFESSIONE =20 =20 NOME,ETA, PROFESSIONE =20 =20 NOME,ETA, PROFESSIONE =20 =20 NOME,ETA, PROFESSIONE =20 =20 PER QUALE MOTIVO VUOI PARTECIPARE ALLA TRASMISSIONE? =20 NOTE =20 GIORNI DISPOIBILI PER REGISTRARE LA PUNTATA? =20 PRIVACY: Confermiamo con la sottoscrizione della presente dichiarazione il nostro = consenso al trattamento, alla comunicazione ed alla diffusione dei dati = forniti e riguardanti la nostra persona da parte Vostra. Dichiariamo = inoltre di aver avuto piena ed esaustiva conoscenza del contenuto e = delle finalit=E0 del predetto trattamento cos=EC come previste = dall'art.10 Legge 31 dicembre 1996 n. 675, nonch=E9 dei diritti a noi = conferiti ex art.13 della detta legge, a tutela della riservatezza dei = nostri dati personali, e di aver avuto copia dell'informativa ex artt.10 = e 13 della detta legge. Firma _______________________ Data ________________________ ------=_NextPart_001_009C_01C6267E.12F9E6A0 Content-Type: text/html; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable

RICHIESTA DI PARTECIPAZIONE ALLA=20 TRASMISSIONE

compila il=20 questionario ed invia via e.mail: INVIA ALL'E.MAIL = info@dannymilano.com o = via=20 fax.0444.350096

DATA

COGNOME
NOME
RESIDENTE=20 A
VIA =
TELEFONO
COMPONENTI CENA=20 N=B0
NOME,ETA, PROFESSIONE
NOME,ETA, PROFESSIONE
NOME,ETA, PROFESSIONE
NOME,ETA, PROFESSIONE
NOME,ETA, PROFESSIONE

PER QUALE MOTIVO = VUOI=20 PARTECIPARE ALLA TRASMISSIONE?

NOTE

GIORNI DISPOIBILI = PER=20 REGISTRARE LA PUNTATA?

PRIVACY:

Confermiamo con=20 la sottoscrizione della presente dichiarazione il nostro consenso al=20 trattamento, alla comunicazione ed alla diffusione dei dati forniti e=20 riguardanti la nostra persona da parte Vostra. Dichiariamo inoltre di = aver avuto=20 piena ed esaustiva conoscenza del contenuto e delle finalit=E0 del = predetto=20 trattamento cos=EC come previste dall=92art.10 Legge 31 dicembre 1996 n. = 675, nonch=E9=20 dei diritti a noi conferiti ex art.13 della detta legge, a tutela della=20 riservatezza dei nostri dati personali, e di aver avuto copia = dell=92informativa=20 ex artt.10 e 13 della detta legge.

Firma=20 _______________________

Data=20 ________________________

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