Application form for potential suppliers

DIRECT PRODUCTS*
INDIRECT PRODUCTS*
COMPANY
NAME*
ADDRESS*
COUNTRY*
WEBSITE
CONTACT INFORMATION
NAME*
PHONE NUMBER*
EMAIL*
Pursuant to the provisions of Regulation (EU) 2016/679 of 27 April 2016 (GDPR) and Public General Act (Ley Orgánica) (ES) 15/1999 of 13 December (LOPD), you are informed that the data that you provide in this document will be incorporated into the following file:

USUARIO WEB ["WEBSITE USER"], the controller of which is Pierburg SA, which will use same solely for data processing on the website.

Please check the box to grant consent for your data to be processed.

Claims: You may, in any event, exercise your rights to access, deletion, rectification, objection, limitation on processing, the "right to be forgotten", the right not to be subject to automated individualised decisions and the right of portability of data by submitting a written request accompanied by a photocopy of your identity card or equivalent document to the address of the organisation at San Prudentzio Kalea 12, 48220 Abadiño, Bizkaia or via an e-mail with electronic signature to .
Further information and details on data protection may be obtained via the website www.pierburg-sa.es.

* Compulsory fields