Direttore Responsabile Maurizio Gily Aut. Trib. Alba n. 2/06 del 28.06.2006 Periodico di UNAVINI s.c.a. Anno IV, N. 4, LUGLIO-AGOSTO 2010

« Back Abbonati a Millevigne Home Page Newspaper

SUBSCRIPTION REQUEST TO MILLEVIGNE

Please enter general information about the subscriber All fields are required unless other specification   Surname   First name   Company name  OPTIONAL   Address   ZIP Code   City   Country   Please enter the data to use for contacts with Unavini Fields Phone number and e e-mail are required Fax number is optional   Phone number   Fax number  OPTIONAL   E-mail   Invoice required VAT number for the invoice   Your request message  OPTIONAL   I subscribe for one year to "Millevigne" at the price of 60 USD/50 EUR (air mail shipping included). I choose the following mean of payement   Postal cheque of 60 USD or 50 EUR intitled to Unavini sca [see address below] Bank wire transfer of 60 USD or 50 EUR to account Unavini sca   Bank details for the bank wire transfer Unavini sca Via Alba 15 - 12050 Castagnito CN [ITALY] Banca di Credito Coop. di Alba, Langhe e Roero Filiale di Castagnito IBAN: IT 47 P 08530 47020 000020135071   According with European and Italian law (D. lgs. 196/2003), the subscriber allows the treatment of his personal data      only for the specific purpose of this subscription.   The subscriber requires to receive the MILLEVIGNE newsletter, a service included in the subscription   The subscriber allows Unavini to send advertising mailing. AGREEMENT NOT REQUIRED