LA.T.I.F. LABORATORIO TECNOLOGICO
IMPIANTI A FUNE
PROVINCIA AUTONOMA DI TRENTO
Via Provina, 24 - 38123 Ravina di Trento - telephone +39 0461495129 - fax +39 0461493882
VAT-Sales Tax Registration Number 00337460224
e-mail: [email protected] web: www.latif.it
SERVIZIO IMPIANTI A FUNE
E PISTE DA SCI
LABORATORIO TECNOLOGICO
IMPIANTI A FUNE
REQUESTED TEST FORM
(Only for foreign companies)
Via Provina, 24
38123 RAVINA di TRENTO - ITALY
CUSTOMER TO WHOM
TO GIVE THE REPORT
Address
City
State
ZIP code
INVOICE DATA
VAT-Sales Tax Registration Number
TELEPHONE
PERSON IN CHARGE FOR THE
TEST
FAX
E-MAIL
Sample description
Test requested
(to indicate any norms and / or
specific procedures)
Sample code
by La.t.i.f.
Sample return
(Do not fill in.)
Not applicable
Yes
No
To fill in if only the request form is not togheter with the sample package
NUMBER AND CODE DELIVERY NOTE FOR THE SAMPLE SENT
TO THE LA.T.I.F.
TUTELA PRIVACY - Ai sensi del D.Lgs. 30 giugno 2003 nr. 196, Vi informiamo che i dati da Voi forniti verranno trattati dalla ns. banca dati ai
finì commerciali ed amministrativi nei modi stabiliti dalla legge. Informativa dettagliata prevista dall'art. 13 del D.Lgs. 30 giugno 2003 nr. 196
presso i ns.uffici amministrativi.
PRIVACY PROTECTION - According to the Italian Law D.Lgs. 30th June 2003 N° 196, we inform you that your data will be used by our
database for commercial and accounting purposes in the way fixed by the law. Detaiied information provided in the art. N° 13 of D.Lgs 30th
June 2003 N° 196 is available atour administrative offices
DATE:
SIGNATURE :
COMPANY
STAMP
date format (XX/XX/XXXX)
mod_032_requested test form rev_09.doc
Print and send it by fax