Protetis 3.00 full version software order form

To place an order for the full version of Protetis 3.00 software, please fill out the following form. the form below.

COMPANY

Office/Clinic name

Name and Surname

NIP

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ADDRESS

street/number

city

ZIP code

phone number

e-mail

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SOFTWARE CONFIGURATION

Number of computers

Do you plan to connect your computers to the network?

Yes

No

Questions:

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Please rewrite symbols from image

Send order

Attention! Before sending the program we check the address data of the customer. The customer who wants to receive the program by courier service bears the shipping costs (25 PLN gross).

We kindly inform you that your personal data is collected by INFOTEL exclusively for its internal use, in order to enable further contact with you. These data are intended exclusively for the aforementioned company and will not be shared with other companies without your knowledge and consent. In accordance with the principles provided for in the regulations on the protection of personal data, you have the following the right to inspect your data and to correct it. The collection of data is carried out on a voluntary basis voluntary basis. I hereby consent to the processing by INFOTEL of my personal data in accordance with the Personal Data Protection Act (Journal of Laws No. 133/97, item 883).