Registrazione Affiliato Coop

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Coop Affiliate Registration

APPLY for the Isocard

Name

Surname

Date of birth

Place of Birth

Sex

Tax code

Address

Province

Cities

POSTAL CODE

Phone

Coop Card Code

Privacy

I consent to the processing of my data provided in accordance with the General Data Protection Regulation (GDPR - EU Reg. 2016/679) exclusively for administrative purposes and for the provision of the requested services, including the issuance and management of the Isocard. The data will not be shared with third parties without the consent of the data subject. For further information please consult the'Privacy Policy.*

Information

I hereby declare that I have read and understood the information pursuant to Articles 13 and 14 GDPR and ask to receive the IsoCard free of charge using the contact details provided in this form.*

Contract Execution

I consent to the processing of my personal data for purposes related to the execution of the contract.*

Direct Marketing

I consent to the processing of my personal data for direct marketing purposes. (optional)

Third-party marketing

I consent to the processing of my personal data for third-party marketing purposes. (optional)

IsoCard

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