Name of school:
Address:
Post code:
City/Town:
Region / State (optional) :
Country:
RNE/UAI (optional) :
Message (optional) :
Administrative Contact
First name:
Surname:
Role within the school:
Email:
Contact number:
Which one do you use?
How did you find out about Madmagz? Click here to choose Ads Word of mouth Resource Catalog (Corrélyce, Courdécol, etc.) Web search ENT / SSO Shows (Educatice, Ludovia, Netjournées, etc.) Training workshops (CLEMI, Canopé, etc.) Contacted by phone Ambassador Other
Other:
Referral Code ?
I confirm i’d like to receive an email containing the summary of my quotation and to be contacted again by Madmagz for further information either via the phone number or the email provided above. (1)
I confirm i’d like to receive newsletters,promotional offers and feedback surveys from Madmagz. (1)
(1) The information collected on this online form is stored in a computerised file by Madmagz in order for you to be contacted at a later stage.The additional data is kept on the file in order for the product to be set up your end.All information is kept on file for no longer than 2 years and will not be shared with additional parties.According to the law “informatiques et libertes” (computer science and freedom) you can access your data and update it if necessary by contacting Madmagz at: [email protected]
