NAME AND SURNAMES

ADDRESS

TOWN OR CITY

POSTAL CODE

PROVINCE

COUNTRY

E-MAIL

CELLULAR PHONE

LANDLINE

FAX

NUMBER OF EMPLOYEES AT YOUR COMPANY
Select Between 1 and 5 Between 6 and 20 Between 21 and 50 Over 50

TYPE OF CLIENT
  Dealer
  Installer
  Engineering
  Architecture
  Decorator, interior designer
  Other (Specify):  

WHAT IS YOUR COMPANY'S LINE OF BUSINESS?
  Electrical systems
  Air-conditioning systems
  Voice and data systems
  Plumbing systems
  Other (Specify):  

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Yes No

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Comments

Pursuant to the provisions of the Data Protection Organic Law, your data is included in a file belonging to SIMON CONNECT S.L. To exercise your rights to access, rectify, cancel or oppose the data, you may address SIMON CONNECT C/Diputación, 390-392, 08013 - Barcelona, either in writing or in person. You may also contact SIMON CONNECT via fax: 93 344 08 07 or e-mail: simonconnect@simonconnect.com