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Application for membership
to the blue

In order to join blue

, please fill in the following enrolment form, sign and send it to Blue Consultants Ltd clicking on the relevant button here below.

Personal details of the web site's holder

First name of the payee:
The payments will be in the payee's name.

Business Name:

VAT no. or tax code:

First Name:

Surname:

Address:

Street number:

Postcode:

City:

State/Province/Region:

Country:

Telephone:

including international dial code

Fax (optional):

including international dial code

Declaration of agreement

	I declare to have taken note and to accept the regulations and the conditions of the programme of the blue specified in the URL: www.blueconsultants.com/terminiecondizioninetwork

Information about the web site

Account type:

Personal

Business

Country:

Website URL:

Please specify only the main URL.
Example: www.blueconsultants.com

Website language:

Please specify the main language of your web site to help us in the test process.

Website field:

Please, specify the reference subject-matter or product sector.

Daily users:

Contact information

If different from that of the payee.

First name:

Surname:

Telephone:

including international dial code

E-mail:

Fax (optional):

including international dial code

Bank coordinates for the credits

Can be also stated afterwards.

Iban:

Bban:

Account preferences

E-mail address:

Password:

7 or more characters, including numbers or letters.

Confirm password:

Authorization for the processing of personal details

Authorisation in accordance with the Data Protection Code In accordance with legislative decree 196/2003 ‘Data Protection Code’, we hereby inform you that any information provided will be treated with absolute confidentiality. Furthermore, in accordance with art. 13 of Legislative Decree 196/2003, we would inform you that you have the right to request the correction or integration of your data at any time, and, should you so wish, to instruct us to cancel or block your data from our system. Having taken note of the above-stated information, you hereby authorise us, in accordance with articles 23 and 24 of the previously stated legislative decree, to process your data, for the purposes inherent to the activity declared.

	I authorize Blue Consultants Ltd to process personal details

* Sending the form, you apply for the enrolment in the blue

programme and you declare to accept the regulations and the conditions of this affiliation programme related to the URL:
www.blueconsultants.com/terminiecondizioninetwork

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