To register to the Consortium please fill out the form below.

Company name
 
Name and surname
 
Type of company
 
Address
 
City
 
ZIP code
 
Telephone
 
Fax
 
e-mail
 
Remarks
 
 
 

D.L. 30/06/2003 n. 196. Protection of Individuals with regard to the Processing of Personal Data.
Personal information provided will be registered on electronic form and treated in the strictest confidence by Consorzio Piemonte Obertengo.

* Compulsory fields