PACTE PALMA

ACCESSION SHEET

PALMA PACT

NAME AND SURNAMES:
NIE (ID No.)
AGE: FEMALE MALE
PROFESSION:
CONTACT INFORMATION:
TEL. Nº.:
FAX:
E-MAIL:
ADDRESS:
POSTAL CODE:

COMMENTS, CONTRIBUTIONS, SUGGESTIONS:
comments, contributions, suggestions

If you would like to receive certification of your accession and related information, check the following boxes.

I authorize use of my personal contact information to receive a certificate of my accession.
I authorize use of my personal contact information to receive information on events, activities and other notices related with this topic.

Pursuant to the terms of Law 15/1999, of December 13, on Personal Data Protection, you are informed that all information provided in the accession sheet will be included into a file, with the exclusive purpose specified in the Pact. The file is property of the Palma Local Council (Education, Equality and Civic Rights Department). You may exercise your rights of access, rectification, cancellation and opposition to the processing of your personal information.

Telephone 971 227 400 Fax 971 721 628 violenciagenere@a-palma.es Calle de la Ferreria, 10 07002 Palma de Mallorca