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ABBONAMENTI SUBSCRIPTIONS<br />
ABBONAMENTO SOLO PER L’ITALIA:<br />
..................................................................................................................<br />
Società / Company name<br />
..................................................................................................................<br />
Nome e Cognome / Name and Surname<br />
..................................................................................................................<br />
Ruolo / Positi<strong>on</strong><br />
..................................................................................................................<br />
Indirizzo / Address<br />
..................................................................................................................<br />
CAP / Zip Code<br />
Visita www.editorialemoda.com oppure compila il modulo,<br />
fotografalo e invialo a: abb<strong>on</strong>amenti@editorialemoda.com<br />
oppure spediscilo via posta a:<br />
EDITORIALE MODA SRL - via Giardini, 476/N - 41124 Modena - Italy<br />
tel. +39 059342001<br />
PAGAMENTO ANTICIPATO TRAMITE:<br />
B<strong>on</strong>ifico bancario IBAN: IT34 X 05034 12903 000000004952<br />
CCP n. 11238417 - EDITORIALE MODA srl (allegare ricevuta)<br />
Carta di credito: VISA Mastercard Scadenza<br />
..................................................................................................................<br />
Città / Town<br />
..................................................................................................................<br />
Provincia / Country<br />
N°<br />
Nome e cognome titolare della carta<br />
Security Code<br />
ULTIME 3 CIFRE SUL RETRO, A DESTRA<br />
..................................................................................................................<br />
Tel. / Ph<strong>on</strong>e<br />
..................................................................................................................<br />
Cell. / Mobile<br />
..................................................................................................................<br />
Fax<br />
Firma<br />
SUBSCRIPTION ONLY FOR ABROAD:<br />
Fill in the form and send it by mail or fax to:<br />
A.I.E. - AGENZIA ITALIANA DI ESPORTAZIONE SRL<br />
via A. Manz<strong>on</strong>i, 12 - 20089 Rozzano (MI) - Italy<br />
tel. +39 025753911 - fax +39 0257512606 - info@aie-mag.com<br />
..................................................................................................................<br />
E-mail<br />
..................................................................................................................<br />
Web<br />
..................................................................................................................<br />
P. IVA / Codice Fiscale / Company VAT<br />
PAYMENT IN ADVANCE BY:<br />
Cheque<br />
Internati<strong>on</strong>al m<strong>on</strong>ey order<br />
American Express Card<br />
Diners Club Internati<strong>on</strong>al<br />
Carta Sì Visa-Access-Eurocard-Mastercard<br />
Bank Americard VISA<br />
Bank transfer IBAN:<br />
IBAN IT 25 X 05584 33580 000000006209<br />
..................................................................................................................<br />
Data / Date<br />
N°<br />
Expiry date<br />
Security Code<br />
Negozio / Indipendent Retailer<br />
Buyer<br />
Grande Magazzino / Dept. Store<br />
Grossista / Wholesaler<br />
Fabbricante / Manufacturer<br />
Rappresentante / Agent<br />
Designer<br />
Altro / Other ______________<br />
Name of card holder<br />
Signature<br />
I suoi dati fanno parte dell’archivio elettr<strong>on</strong>ico dell’Editoriale Moda S.r.l., nel rispetto della L. 196/03. N<strong>on</strong> saranno oggetto di comunicazi<strong>on</strong>e o diffusi<strong>on</strong>e a terzi. E’ nel suo diritto richiedere la<br />
cessazi<strong>on</strong>e dell’invio e/o l’aggiornamento dei dati in nostro possesso. Se n<strong>on</strong> desidera ricevere ulteriori comunicazi<strong>on</strong>i, barri la casella<br />
Your pers<strong>on</strong>al/company informati<strong>on</strong> is part of AIE Spa’s electr<strong>on</strong>ic data base and, as such, handled in full compliance with Italian Law 196/03 (the so-called privacy law). This informati<strong>on</strong> will not<br />
be the object of communicati<strong>on</strong>s nor will be shared with third parties. You have the right to request that we stop sending communicati<strong>on</strong>s and/or updating the data in our possessi<strong>on</strong>. If you do<br />
not wish to receive any further communicati<strong>on</strong>s, please check the box<br />
BCW <strong>15</strong><br />
DESIDERO SOTTOSCRIVERE UN ABBONAMENTO ANNUO A:<br />
I WOULD LIKE TO ORDER A YEARLY SUBSCRIPTION TO (PRIORITY MAIL ONLY):<br />
4 edizi<strong>on</strong>i all’anno / 4 issues per year<br />
DAL N°<br />
STARTING<br />
FROM N°<br />
Italia<br />
Europe<br />
America<br />
Africa<br />
Asia<br />
Oceania<br />
€ 60,00 € 130,00 € 140,00 € 170,00<br />
OUR MAGAZINE<br />
DISTRIBUTORS WORLDWIDE<br />
www.intimopiumare.com/our-magazinedistributors-worldwide<br />
SOLE AGENT FOR DISTRIBUTION AND<br />
SUBSCRIPTIONS ABROAD:<br />
1 edizi<strong>on</strong>e all’anno / 1 issue per year<br />
3 edizi<strong>on</strong>i all’anno / 3 issues per year<br />
2 edizi<strong>on</strong>i all’anno / 2 issues per year<br />
€ 30,00 € 50,00 € 55,00 € 60,00<br />
€ 50,00<br />
€ 90,00<br />
€ 50,00 (<strong>on</strong>ly Spain)<br />
€ 100,00 € 105,00<br />
€ 50,00 € 100,00 € 110,00 € 120,00<br />
A.I.E.<br />
AGENZIA ITALIANA DI ESPORTAZIONE SRL<br />
via A. Manz<strong>on</strong>i, 12<br />
20089 Rozzano (MI) Italy<br />
tel. +39 02 5753911<br />
fax +39 02 57512606<br />
info@aie-mag.com<br />
www.aie-mag.com
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