Attention: All sections must be completed.

Name and Surname
 
Address
   
Town
   
State
   
ZIP Code
   
Telephone number
   
Fax
   
e-mail
   
Arrival Date
   (ex. 01/01/2004)
Number of person
   
Suggestion and comments
   
 
   
In compliance with LAW n° 675/96, I authorize Ceramiche Biagioli to use the above information for all its institutional activities, including communication, information and promotional activities.