Name

Surname

Company name

Address

City

Postal Code

Province

Country

VAT number or Tax Code

Phone number

Email

Website

Sales Office Manager

Sales Department e-mail

Technical Office Manager

Technical Office e-mail

I hereby authorize and consent the receipt of the SPINA GROUP NEWSLETTER.

Information concerning the activity of the company

Type of supplier

distributor
producer

Estimated delivery time

Material available in stock (% of range of products)

Company-owned transport vehicles

yes
no

Realization of products on request

yes
no

Quality certification and regulations reference

Certification body

Please fill in the list of your products divided by categories

Explosion-proofing Eex-e category: +

Water-proof explosion-proofing category: +

Safety equipment category: +

Energy cables category: +

Signalling cables category

Signalling cables

Telecommunication cables category: +

Special cables category: +

Lighting system poles category: +

Transformer category

Mono-phase and three-phase

Requested information

Privacy statement - Personal data processing Legislative Decree 196/2003 Under Act 196 of 30.06.03, we inform you that your data will be stored in ns. archive and will be used by ns. company for the mailing of the administrative, commercial promotional material from our. selection activities. Please also be advised of your right to know, delete, modify your data in accordance with Article. 13 of the aforementioned law, or oppose the use of steati in violation of the law.

Supplier Qualification Request

Information concerning the activity of the company

Please fill in the list of your products divided by categories