Name

Surname

E-mail address

Telephone number

Residence

Purchased product(s): Purchased product(s): Red Wine of Montepulciano DOC Vin Santo of Montepulciano DOC Martiena IGT Sancta Catharina IGT Vino Nobile di Montepulciano Bossona DOCG Vino Nobile di Montepulciano DOCG Tuscan "Rosa" Rosé IGT Vino Nobile di Montepulciano DOCG "Madonna della Querce" Grappa of Vino Nobile di Montepulciano pomace Extra Virgin olive oil

Authorization privacy police Authorization privacy police I have read the information and authorise the processing of my data