Newsletter

CONTACT US BY E-MAIL



So that we can process your request quickly and efficiently, please complete this form with as much detail as possible.

1.YOUR PERSONAL INFORMATION

Customer N° :
Title * :
Name*: * :
First name * :
Building, apartment, floor level: 32 characters max
Street, avenue, boulevard: 32 characters max
Post Code :
Town: :
Country :
Land-line telephone number:
Mobile telephone number:
Email *:
Newsletter :

* Required fields

2.YOUR REQUEST

Type of request*:
Message * :

Under the computerised information and freedom law of 6th January 78, you have the right to access and to correct data concerning you:
• either directly on line by identifying yourself using the rubric " change to my contact details " • or by informal letter asking us to correct your contact details or remove them from our file, and (or) not to communicate them to third parties.