Work with us

Name:(*)		Surname:(*)
Company:(*)		Address:(*)
Postcode:(*)		City:(*)
Province:(*)		Phone:(*)
Fax		E-mail:(*)
Activity:(*)
Describe the organization of your activity :(*)
Categories:
Breakdown – service 24H – light vehicles		Breakdown –service / towing service / mobile workshop 24H – heavy vehicles and trailers
Tyre –service		Tyre –service on the road 24H
Expert		Car rent
Bus / trailer – rent		Taxi
Ambulance		Hotel, camping, hostel
General and specialised practiotioner		Agent
I am aware that my personal information will be stored and protected according to the Law ‘196/2003’ on Privacy. These information will not be disclosed to third parties without my consent. I will be free to contact Assiconsult any time to access, update or amend my personal information with a written request.