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PER Lab LABORATORIO DI PSICOLOGIA, EMOZIONI & RICERCA srl semplificata
Capitale Sociale 1.000,00 euro interamente versati - Sede Legale: FIRENZE (FI) Via Bartolomeo Scala n. 25
N. P.IVA: 06350200488	
  
	
  
	
  
PER Lab - LABORATORIO DI PSICOLOGIA, EMOZIONI & RICERCA
srl semplificata
Modulo di iscrizione
Per iscriversi è necessario compilare il modulo, in ogni sua parte, e inviarlo all’indirizzo
mail perlab@perlab.net
Il/La sottoscritto/a _________________________________________________________
Nato/a a _________________________ il ____________ Prov. ______ Naz. __________
Residente in via ________________________________________________ n. _________
Comune_________________________________ CAP ____________ Prov. _________
Telefono ____________________________ e-mail ______________________________
Codice fiscale o P. IVA __________________________________________
Titolo di studi _____________________________________________________________
Azienda d’appartenenza _____________________________________________________
Ruolo / Qualifica ___________________________________________________________
La partecipazione all’evento è completamente gratuita.
Presa visione della proposta di partecipazione al sotto indicato corso, dichiara di iscriversi
all’evento gratuito:
INTELLIGENZA EMOTIVA E BENESSERE ORGANIZZATIVO
Firenze, venerdì 10 maggio 2013
Consenso al trattamento dei dati personali: ai sensi dell’art. 13 del d. lgs. 196/2003 esprimo il mio consenso
al trattamento dei dati qui riportati per finalità funzionali allo svolgimento della vostra attività e connesse alla
fruizione dei servizi, per l’elaborazione di statistiche, la commercializzazione e l’invio di materiale
pubblicitario/promozionale e di aggiornamento sui servizi della PER Lab SRL semplificata, mediante telefono, posta
ordinaria ed elettronica, internet e per l’assolvimento dei compiti di legge. Responsabile del trattamento e della
conservazione dei dati è PER Lab SRL semplificata. Dichiaro di essere consapevole che in mancanza di tale
consenso l’attivazione e l’accesso a tali servizi non sarà possibile e di disporre delle facoltà di cui all’art. 7 del
citato d.lgs.
q SI
q NO
Luogo e data Il Cliente

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Modulo iscrizione giornata studio PERLab

  • 1. PER Lab LABORATORIO DI PSICOLOGIA, EMOZIONI & RICERCA srl semplificata Capitale Sociale 1.000,00 euro interamente versati - Sede Legale: FIRENZE (FI) Via Bartolomeo Scala n. 25 N. P.IVA: 06350200488       PER Lab - LABORATORIO DI PSICOLOGIA, EMOZIONI & RICERCA srl semplificata Modulo di iscrizione Per iscriversi è necessario compilare il modulo, in ogni sua parte, e inviarlo all’indirizzo mail perlab@perlab.net Il/La sottoscritto/a _________________________________________________________ Nato/a a _________________________ il ____________ Prov. ______ Naz. __________ Residente in via ________________________________________________ n. _________ Comune_________________________________ CAP ____________ Prov. _________ Telefono ____________________________ e-mail ______________________________ Codice fiscale o P. IVA __________________________________________ Titolo di studi _____________________________________________________________ Azienda d’appartenenza _____________________________________________________ Ruolo / Qualifica ___________________________________________________________ La partecipazione all’evento è completamente gratuita. Presa visione della proposta di partecipazione al sotto indicato corso, dichiara di iscriversi all’evento gratuito: INTELLIGENZA EMOTIVA E BENESSERE ORGANIZZATIVO Firenze, venerdì 10 maggio 2013 Consenso al trattamento dei dati personali: ai sensi dell’art. 13 del d. lgs. 196/2003 esprimo il mio consenso al trattamento dei dati qui riportati per finalità funzionali allo svolgimento della vostra attività e connesse alla fruizione dei servizi, per l’elaborazione di statistiche, la commercializzazione e l’invio di materiale pubblicitario/promozionale e di aggiornamento sui servizi della PER Lab SRL semplificata, mediante telefono, posta ordinaria ed elettronica, internet e per l’assolvimento dei compiti di legge. Responsabile del trattamento e della conservazione dei dati è PER Lab SRL semplificata. Dichiaro di essere consapevole che in mancanza di tale consenso l’attivazione e l’accesso a tali servizi non sarà possibile e di disporre delle facoltà di cui all’art. 7 del citato d.lgs. q SI q NO Luogo e data Il Cliente