Become my agent

AGENT WANTED

We are looking for agents for the following areas …

    Title

    Your name*

    Your family name*

    Mainly activity

    Company name*

    Your position

    City*

    Province

    Country*

    Your Email address* (use only the official company email, generic-webmail is not allowed)

    Your Phone number

    Pls fill in 3 oversea agents for us cross reference
    *Required fields (You must fill in 3 oversea agents info)

    COMPANY NAME *

    reference 1

    reference 2

    reference 3

    PERSON IN CONTACT *

    reference 1

    reference 2

    reference 3

    EMAIL *

    reference 1

    reference 2

    reference 3

    TEL *

    reference 1

    reference 2

    reference 3

    WEBSITE *

    reference 1

    reference 2

    reference 3

    *Authorization to process personal data (leggi di più ...)

    I ACCEPT

    I authorize the processing of my personal data pursuant to Legislative Decree 196 of 30 June 2003 and art. 13 GDPR