Filling in this form you will be able to buy in our virtual shop and access all additional services we provide in this web-site too. Please note: mandatory fields are marked in bold and are followed by a (*) sign. Remember, Club dei Riparatori by Idrobase Srl deals only Business to Business.

COMPANY DETAILS
Company name:		(*)
Address:		(*)
City/County:		(*)
Zip code:		(*)
Country:		(*)
VAT-number:
Phone number:		(*)
Fax:
E-mail:		(*)
Home Page:
Contact name		(*)

Notes
Adding notes

In accordance with law 675/96 about the protection of the personal data, we point you out that all the information, which you gave us, have been collected only for a promotional purpose and that they have been electronically processed. You have free access to your personal data if you want to update them, change them or complete them just sending an e-mail to: brunof@sparesclub.com or by sending a fax to the number +39 049 9335922 or by sending a letter to the following address: Club dei Riparatori by Idrobase srl, Via dell'Industria, 25, 35010 Borgoricco (PD), Italy, Attention Mr. Bruno Ferrarese. If you wish, your data will be placed at disposal of other companies, so that you will have the opportunity to receive further advantageous offers and commercial informations.