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NEW CUSTOMER APPLICATION FORM

By filling out this form you can make an application to become our customer. Neptunia Flora Soc. Coop a r.l. reserves the right to examine your request and take decisions in relation to its development project on national and international market.



* Mandatory Fields.

Company Name:
*
V.A.T.:

*
Address:

*
Email:

*
Telephone:

*
Contact Name:

*
Fax Number:

Notice about treatment of personal data :   


   I agree*

Geographic area in which you operate and usual quantity you sell:
  

  
Numbers:
*

 

                                  
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Neptunia Flora Soc. Coop. a.r.l.
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Via delle Grugnole Loc. Tre Cancelli 00048 Nettuno (Roma)
Tel. +39 06.9858682 Fax + 39 06.9858681
www.neptuniaflora.it - info.clienti@neptuniaflora.it
P.IVA: IT 04080101001
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