Become Simvar Customer

 

This form is reserved to the companies who want to become Simvar Srl customers.

(*) Mandatory Field.

The field "Name" is mandatory.
The field "Surname" is mandatory.
The field "Company Name" is mandatory.
The field "VAT Number" is mandatory.
The field "Role in the Company" is mandatory.
The field "Unique Code SDI" is mandatory.
The field "Address" is mandatory.
The field "City" is mandatory.
The field "Postal Code" is mandatory.
The field "Province" is mandatory.
The field "Region" is mandatory.
The field "Country" is mandatory.
It is mandatory to fill out the field "Phone Number" and "Mobile".
It is mandatory to fill out the field "Phone Number" and "Mobile".

All data provided will be processed in accordance with the EU Regulation 2016/679. We inform you that the provision of these data is mandatory to receive the newlsetter and that the data won't be spread or communicated to other companies for commercial or marketing purposes. Privacy Policy.

Some mandatory fields have not been filled out.
The authorization to the profiling of data is mandatory.
It is necessary to select one of the two option.

Reserved Area