Meeting with a consultant

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If you are interested in our offer and want to cooperate with us, make an appointment with our salesperson at convenient for you time and place.

Name:
Surname
Name of the firm:
Street and number:
Post code:
City:
Province:
Day of the meeting:
Time interval:
Telephone:
E-mail:
4 plus 2 (enter the result):

I give my consent for using my personal data with purpose of meeting account only by AJA which office is in Rzgow, at Łódzka Str. 34. The consent for using the data is demanded with the Protection of Personal Data Law of August 29, 1997 (Journal of Laws No. 133, item. 833). Lack of the concent makes it impossible to meet with the help of this form.