Giugni S.r.l.
Distributor request form
Thank you for your interest in adding Giugni product line in your portfolio. Please let us know how we can inform you by completing the form below.

*required data for processing
DISTRIBUTOR REQUEST FORM
*Company Name:
Your name: *Address:
Post-code: *City:
*Country:
*Phone Number: Fax:
*E-mail:
Questions/Comments:
PRIVACY
Your personal data in the form will be used for internal GIUGNI purposes only. All personal data provided are protected by Italian law (Personal Data Protection Code - Legislature Decree no. 196 of 30 June 2003).
Please confirm that you agree to this by checking the box.
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Giugni Srl - Via F. Bellotti, 53 - 41123 Modena - Italy - Tel: +39 059 330060 - Fax: +39 059 828208 - P.IVA: 02656780364 - REA: 319976 - Cap.Sociale: 111.060,00 €