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Details of the owner
nombre:
apellidos:
direccion:
poblacion:
provincia:
cp:
Fecha Nacimiento: 
telefono:
email:

You can enroll the person you want as a beneficiary of the insurance, provided you have an age between 2 and 70 years and did not suffer a spinal cord injury or head trauma.
Number of people becoming Friends of the Institute
nombre apellidos NIF fecha_nacimiento
Annual fee of Friend of the Institute entitled to insurance *:
* According to the conditions of the accident insurance policy contracted with AXA.
Individual. Minimum 120 €
Familiar. Two people. Minimum 180 €
Multiple family. More than two people. Minimum 180 € + 60 € for each person.
Donation.
Amount of donation:

Once we receive your message, we will contact you to request bank details.
We guarantee that the data you provide is confidential and exclusive use of the Guttman Institute.
These financial contributions will benefit from the relief in l'personal income tax and corporation tax.
The Guttmann Institute is hosting the taxation of the Law on Foundations 49/02.

Personal data collected will be treated with safety restraint regulations providing for the protection of personal data and be used for the sole purpose of keeping in touch with the user and provide the requested information.
The Guttmann Institute undertake not to use this information for other purposes or assign to third parties. They may exercise rights of access, rectification and cancellation by mail.


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Darrera actualització: 07.05.2013