Pursuant to the terms and conditions of Sections 7, 13, and 23 of Legislative Decree n° 196/2003 (Italian law), I hereby declare that I have read Samac S.r.l.. Privacy policy regarding the processing of my personal data, that I have been fully informed of my statutory rights and the exercise thereof, and in witness whereof

I hereby set my hand and hereto

I do give my consent

to the processing of my personal data for the purposes for which I release them as specified above.