Declaration of consent contact form

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Yes, I have taken note of the privacy policy and agree that the data I have provided may be collected and stored electronically.

My data will only be used strictly for the purpose of processing and responding to my request.

By sending the contact form, I agree to the processing.

All fields marked with * are mandatory fields and must be filled in.

Please enter your details here

Company*

Salutation

Mr.

Mrs.

Divers

First name*

Name*

Street*

House number*

Postal code*

City*

County*

Telephone

e-mail*

Yes, I have read the Terms and Conditions and accept them.

You will find here our data protection notice.

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