SOCHIM

Name :

E-mail:

Message:

Pursuant to the terms and conditions of Sections 7, 13, and 23 of Legislative Decree n° 196/2003, I hereby declare that I have read the instructions given to me by SOCHIM International as regards the processing of my personal data, that I have been fully informed of my statutory rights and the exercise thereof, and in witness whereof I hereby set my hand

and hereto I do give my consent         I do not give my consent  

to the processing of my personal data for the purposes for which I release them as specified above.