One element is not displayed on the frontend because the extension is not validated. One element is not displayed on the frontend because the extension is not validated. PLATIUMED SRL Via Aspromonte, 17 36015 Schio (Vicenza) - Italy Tel. 39 0445 532216 Fax. +39 0445 505610 Skype: platiumed Tipo contatto PRIVATO AZIENDA DOOR TO DOOR AZIENDA PROFESSIONALE Se non siete dei privati siete pregati di indicare sul campo successivo la Vostra ragione socialeCognome Nome Telefono inserire il numero di telefono fisso o cellulareemail Indirizzo Citta Nazione Albania AL Algeria DZ American Samoa AS Andorra AD Angola AO Anguilla AI Antarctica AQ Antigua and Barbuda AG Argentina AR Armenia AM Aruba AW Australia AU Austria AT Azerbaijan AZ Bahamas BS Bahrain BH Bangladesh BD Barbados BB Belarus BY Belgium BE Belize BZ Benin BJ Bermuda BM Bhutan BT Bolivia BO Bosnia and Herzegovina BA Botswana BW Bouvet Island BV Brazil BR British Indian Ocean Territory IO Brunei Darussalam BN Bulgaria BG Burkina Faso BF Burundi BI Cambodia KH Cameroon CM Canada CA Cape Verde CV Caribbean Netherlands BQ Cayman Islands KY Central African Republic CF Chad TD Chile CL China CN Christmas Island CX Cocos (Keeling) Islands CC Colombia CO Comoros KM Congo CG Congo, Democratic Republic of CD Cook Islands CK Costa Rica CR Côte d'Ivoire CI Croatia HR Cuba CU Curaçao CW Cyprus CY Czech Republic CZ Denmark DK Djibouti DJ Dominica DM Dominican Republic DO Ecuador EC Egypt EG El Salvador SV Equatorial Guinea GQ Eritrea ER Estonia EE Ethiopia ET Falkland Islands FK Faroe Islands FO Fiji FJ Finland FI France FR French Guiana GF French Polynesia PF French Southern Territories TF Gabon GA Gambia GM Georgia GE Germany DE Ghana GH Gibraltar GI Greece GR Greenland GL Grenada GD Guadeloupe GP Guam GU Guatemala GT Guernsey GG Guinea GN Guinea-Bissau GW Guyana GY Haiti HT Heard and McDonald Islands HM Honduras HN Hong Kong HK Hungary HU Iceland IS India IN Indonesia ID Iran IR Iraq IQ Ireland IE Isle of Man IM Israel IL Italy IT Jamaica JM Japan JP Jersey JE Jordan JO Kazakhstan KZ Kenya KE Kiribati KI Kuwait KW Kyrgyzstan KG Lao People's Democratic Republic LA Latvia LV Lebanon LB Lesotho LS Liberia LR Libya LY Liechtenstein LI Lithuania LT Luxembourg LU Macau MO Macedonia MK Madagascar MG Malawi MW Malaysia MY Maldives MV Mali ML Malta MT Marshall Islands MH Martinique MQ Mauritania MR Mauritius MU Mayotte YT Mexico MX Micronesia, Federated States of FM Moldova MD Monaco MC Mongolia MN Montenegro ME Montserrat MS Morocco MA Mozambique MZ Myanmar MM Namibia NA Nauru NR Nepal NP New Caledonia NC New Zealand NZ Nicaragua NI Niger NE Nigeria NG Niue NU Norfolk Island NF North Korea KP Northern Mariana Islands MP Norway NO Oman OM Pakistan PK Palau PW Palestine, State of PS Panama PA Papua New Guinea PG Paraguay PY Peru PE Philippines PH Pitcairn PN Poland PL Portugal PT Puerto Rico PR Qatar QA Réunion RE Romania RO Russian Federation RU Rwanda RW Saint Barthélemy BL Saint Helena SH Saint Kitts and Nevis KN Saint Lucia LC Saint Vincent and the Grenadines VC Saint-Martin (France) MF Samoa WS San Marino SM Sao Tome and Principe ST Saudi Arabia SA Senegal SN Serbia RS Seychelles SC Sierra Leone SL Singapore SG Sint Maarten (Dutch part) SX Slovakia SK Slovenia SI Solomon Islands SB Somalia SO South Africa ZA South Georgia and the South Sandwich Islands GS South Korea KR South Sudan SS Spain ES Sri Lanka LK St. Pierre and Miquelon PM Sudan SD Suriname SR Svalbard and Jan Mayen Islands SJ Swaziland SZ Sweden SE Switzerland CH Syria SY Taiwan TW Tajikistan TJ Tanzania TZ Thailand TH The Netherlands NL Timor-Leste TL Togo TG Tokelau TK Tonga TO Trinidad and Tobago TT Tunisia TN Turkey TR Turkmenistan TM Turks and Caicos Islands TC Tuvalu TV Uganda UG Ukraine UA United Arab Emirates AE United Kingdom GB United States US United States Minor Outlying Islands UM Uruguay UY Uzbekistan UZ Vanuatu VU Vatican VA Venezuela VE Vietnam VN Virgin Islands (British) VG Virgin Islands (U.S.) VI Wallis and Futuna Islands WF Western Sahara EH Yemen YE Zambia ZM Zimbabwe ZW Scegliere la NazioneRichiesta abilitazione SI NO (area protetta)Oggetto Messaggio Inviando questo modulo si autorizza il trattamento dei propri dati personali ai sensi della legge 675/96, come indicato nelle norme in materia di tutela della privacy disponibili sul nostro sito http://platiumed.com/index.php/it/azienda/privacy Form by ChronoForms - ChronoEngine.com
