By clicking Submit

I hereby duly warrant, on behalf of myself and others availing the services bought by me, under penalties of perjury, that:

  • I have read, agree and accept the:
  • I have the authority to enter into the present contract and
  • all information submitted in this form is true, complete and correct.

After submitting this form you will receive a copy by email mentioning the contract number.
The concluded contract shall be stored in Azzurytt database in a PDF file format for an indefinite time period.

Thank you !

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