Richiesta-Apertura-Sinistro-Cliente - Agenzia Reale Mutua Gasperi Giovanni

Reale Mutua Agenzia di Rovereto Agenti Gasperi Giovanni Via Maioliche, 53 - Leno Center, (TN) Rovereto Tel: 0464 439533 Fax: 0464 439571 Email: rovereto.348@agenzie.realemutua.it

Apertura Sinistro Lite

Modulo richiesta apertura sinistro

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Intestatario del conto

Codice bancario IBAN

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Controllo autenticità personale

Si precisa che la compilazione del form costituisce segnalazione di sinistro ma non ne determina l’apertura.
Il personale di Agenzia prenderà in carico la segnalazione e la contatterà per eventuali ulteriori informazioni.
Con la compilazione dei campi, il Socio presta il consenso al trattamento dei propri dati personali. Tale consenso è indispensabile per il proseguo della segnalazione.

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