JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Richiesta adesione PROMO
Il sottoscrittore del presente modulo dichiara sotto la propria responsabilità che le informazioni in esso contenute sono corrispondenti al vero.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Nome
*
Your answer
Cognome
*
Your answer
Numero di cellulare
*
Your answer
Comune di residenza
*
Your answer
Tipo di servizio richiesto
*
Fibra 2500
Fibra 1000
Fibra 100
Wi-Fi 50
Wi-Fi 20
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of SPRINGO.
Does this form look suspicious?
Report
Forms
