INFORMATION FORM
Company name:
Full address:
Phone:
Fax:
E-mail:
Person in charge:
Position:
Departments of interest:
Solids
Liquids
Semi-solids
Injectables
Water treatment
Packaging materials
Additional details
(if possible, please indicate type of machine, capacity, product, etc):
Yes
No
I authorize this Company to use my personal information (Italian Law 675/96).