Gurucube S.r.l. C.so Novara 99 P.Iva:
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1 AGENZIA MODULO ORDINE Dati sede legale del soggetto Titolare del Contratto DENOMINAZIONE: cognome e nome o ragione sociale CODICE FISCALE O PARTITA IVA: INDIRIZZO: CITTA : CAP: PROVINCIA: NAZIONE: TELEFONO: FAX: MOBILE: Nota: in ottemperanza alla L. 248/06 ricordiamo che tali dati sono obbligatori per presentare gli elenchi alla Agenzia delle Entrate. Eventuali modifiche successive alla presente dovranno essere comunicate tempestivamente. Dati sede amministrativa/operativa [se diversi dalla sede legale] INDIRIZZO: CITTA : CAP: PROVINCIA: NAZIONE: TELEFONO: FAX: MOBILE: Dati sede di attivazione del servizio [se diversi dalla sede legale] INDIRIZZO: CITTA : CAP: PROVINCIA: NAZIONE: NOMINATIVO RIFERIMENTO: TEL: MOBILE: Dati del legale rappresentante NOME: COGNOME: TEL: MOBILE: DOCUMENTO: RILASCIATO DA: IL: Rev 2.4 Pag. 1 di 6 TIMBRO E FIRMA DEL TITOLARE
2 Rev 2.4 Pag. 2 di 6 Gurucube S.r.l. FEATURED.ACADEMY.ACCOUNTANTS.ACTOR.AGENCY.AIRFORCE.APARTMENTS.APP.ARCHITECT.ARMY.ART.ASSOCIATES.ATTORNEY.AUCTION.AUDIO.AUTO.BABY.BAND.BAR.BARGAINS.BASEBALL.BASKETBALL.BEAUTY.BET.BIKE.BINGO.BLOG.BOATS.BOOK.BOUTIQUE.BROKER.BUILD.BUILDERS.BUSINESS.BUY.CAB.CAFE.CAM.CAMERA.CAMP.CAPITAL.CARDS.CARE.CAREERS.CARS.CASA.CASH.CASINO.CATERING.CENTER.CHARITY.CHAT.CHEAP.CHURCH.CITY.CLAIMS.CLEANING.CLINIC.CLOTHING.CLOUD.CLUB.COACH.CODES.COFFEE.COLLEGE.COMMUNITY.COMPANY.COMPUTER.CONDOS.CONSTRUCTION.CONSULTING.CONTRACTORS.COOL.CORP.COUPONS.CPA.CREDIT.CREDITCARD.CRICKET.CRUISES.DANCE.DATA.DATING.DEALS.DEGREE.DELIVERY.DEMOCRAT.DENTAL.DENTIST.DESIGN.DIAMONDS.DIET.DIGITAL.DIRECT.DIRECTORY.DISCOUNT.DOCTOR.DOG.DOMAINS.ECO.EDUCATION. .ENERGY.ENGINEER.ENGINEERING.ENTERPRISES.EQUIPMENT.ESTATE.EVENTS.EXCHANGE.EXPERT.EXPOSED.EXPRESS.FAIL.FAMILY.FAN.FARM.FASHION.FILM.FINANCE.FINANCIAL.FISH.FISHING.FITNESS.FLIGHTS.FLORIST.FLOWERS.FOOD.FOOTBALL.FORSALE.FORUM.FOUNDATION.FREE.FUND.FURNITURE.FUTBOL.FYI.GALLERY.GAMES.GARDEN.GAY.GIFTS.GIVES.GLASS.GLOBAL.GMBH.GOLD.GOLF.GRAPHICS.GRATIS.GREEN.GRIPE.GROUP.GUIDE.GURU.HAUS.HEALTH.HEALTHCARE.HELP.HOCKEY.HOLDINGS.HOLIDAY.HOME.HOSPITAL.HOSTING.HOT.HOTEL.HOUSE.IMMO.IMMOBILIEN.INC.INDUSTRIES.INSTITUTE.INSURANCE.INSURE.INTERNATIONAL.INVESTMENTS.JEWELRY.JUEGOS.KAUFEN.KITCHEN.LAND.LAW.LAWYER.LEASE.LEGAL.LIFE.LIGHTING.LIMITED.LIMO.LIVE.LIVING.LLC.LOANS.LOVE.LTD.LUXURY.MAIL.MAISON.MANAGEMENT.MAP.MARKET.MARKETING.MBA.MEDIA.MEDICAL.MEMORIAL.MOBILE.MODA.MOM.MONEY.MORTGAGE.MOTO.NAVY.NETWORK.NEWS.NINJA.NOW.ONLINE.PARTNERS.PARTS.PETS.PHONE.PHOTOS.PICTURES.PIZZA.PLACE.PLUMBING.PLUS.POKER.PRODUCTIONS.PROPERTIES.PROPERTY.PUB.RACING.RADIO.REALESTATE.REALTY.RECIPES.RED.REHAB.REISEN.RENT.RENTALS.REPAIR.REPORT.REPUBLICAN.RESTAURANT.REVIEWS.RIP.ROCKS.RUGBY.RUN.SALE.SALON.SARL
3 .SCHOOL.SCHULE.SEARCH.SECURITY.SERVICES.SHOES.SHOP.SHOPPING.SHOW.SINGLES.SITE.SKI.SOCCER.SOCIAL.SOFTWARE.SOLAR.SOLUTIONS.SPA.SPORTS.STORAGE.STORE.STUDIO.STYLE.SUCKS.SUPPLIES.SUPPLY.SUPPORT.SURGERY.SYSTEMS.TAX.TAXI.TEAM.TECH.TECHNOLOGY.TENNIS.THEATER.TICKETS.TIENDA.TIPS.TIRES.TODAY.TOOLS.TOURS.TOWN.TOYS.TRADING.TRAINING.TUBE.UNIVERSITY.VACATIONS.VENTURES.VET.VIAJES.VIDEO.VILLAS.VIN.VIP.VISION.VOTE.VOYAGE.WATCH.WEB.WEBSITE.WEDDING.WINE.WORKS.WORLD.WOW.WTF.XYZ.YOGA.ZONE. 企 业. 商 店. 娱 乐. 游 戏 ADULT.ADULT.PORN.SEX.SEXY ARTS.ACTOR.ART.AUDIO.BAND.BOOK.BWAY.EVENTS.FILM.GALLERY.HIPHOP.NEWS.PHOTO.PHOTOS.PICTURES.RADIO.SHOW.THEATER.THEATRE.VIDEO. 娱 乐 BUSINESS.ADS.AGENCY.ASSOCIATES.BUSINESS.CAREER.CAREERS.CENTER.CEO.COMPANY.CORP.ECOM.ENTERPRISES.FARM.FORUM.FOUNDATION.GIVES.GMBH.INC.INDUSTRIES.LIMITED.LLC.LLP.LTD.MANAGEMENT.MARKETING.NGO.ONG.PARTNERS.PRESS.SARL.SOLUTIONS.SRL.STUDIO.TRADE.TRADING.VENTURES.XIN تالاصتا.. 企 业. 公 司 EDUCATION.ACADEMY.COLLEGE.COURSES.DEGREE.EDUCATION.MBA.PHD.PROF.SCHOLARSHIPS.SCHOOL.SCHULE.SCIENCE.SHIKSHA.UNIVERSITY FOOD.BAR.BEER.CAFE.CATERING.CITYEATS.COFFEE.COOKING.EAT.FOOD.KITCHEN.MENU.PIZZA.PUB.RECIPES.REST.RESTAURANT.VODKA.WINE. 餐 厅 GEOGRAPHIC.AFRICA.ALSACE.AMSTERDAM.BARCELONA.BAYERN.BERLIN.BRUSSELS.BUDAPEST.BZH.CAPETOWN.CATALONIA.CITY.COLOGNE.COUNTRY.CYMRU.DESI.DOTAFRICA.EARTH.EUS.FRL.GAL.GENT.GLOBAL.HAMBURG.INTERNATIONAL.IST.ISTANBUL.JOBURG.KIWI.KYOTO.LONDON.MADRID.MELBOURNE.MIAMI.MOSCOW.NAGOYA.NRW.NYC.OKINAWA.OSAKA.PARIS.PATAGONIA.PERSIANGULF.PLACE.QUEBEC.ROMA.RUHR.RYUKYU.STOCKHOLM.SWISS.SYDNEY.TAIPEI.TATAR.THAI.TIROL.TOKYO.TOWN.VEGAS.VLAANDEREN.WALES.WIEN.WORLD.YOKOHAMA Rev 2.4 Pag. 3 di 6
4 .ZUERICH.москва. 佛 山. 深 圳 IDENTITY.ACTIVE.ACTOR.AIRFORCE.ARAB.ARMY.BABY.BEAUTY.BIBLE.BIO.BLACK.CEO.CHURCH.COMMUNITY.CONTACT.DAD.DATE.DATING.DEMOCRAT.DIET.EXPOSED.EXPRESS.FAITH.FAMILY.FAN.FANS.FASHION.FIT.FITNESS.GAY.GENT.GOP.GROUP.HAIR.HALAL.HEALTH.HEART.HIV.ICU.INDIANS.IRISH.ISLAM.JETZT.KID.KIDS.KIM.KIWI.KOSHER.LAT.LATINO.LDS.LGBT.LIFESTYLE.LIVE.LIVING.LOVE.LUXURY.MBA.MOM.NAVY.NOWRUZ.ORGANIC.PARS.PERSIANGULF.PHD.REN.REPUBLICAN.SCOT.SHIA.SINGLES.SOY.STYLE.TOP.UNO.VET.VIP.VISION.VOTE.VOTING.VOTO.WANG.WEDDING.WHOSWHO.ZULU.дети.католик.рус كيلوثاك.. 健 康. 天 主 教. 时 尚 IDN.дети.католик.ком.москва.онлайн.орг.рус.сайт קוֹם. تالاصتا. رازاب. ةكبش. برع. كيلوثاك. موك. عقوم. هارمه..क म.न ट.स गठन.คอม.コム.みんな.닷넷.닷컴. 世 界. 中 文 网. 企 业. 佛 山. 信 息. 健 康. 八 卦. 公 司. 公 益. 商 城. 商 店. 商 标. 在 线. 大 拿. 天 主 教. 娱 乐. 工 行. 微 博. 慈 善. 我 爱 你. 手 机. 招 聘. 政 务. 政 府. 新 闻. 时 尚. 机 构. 深 圳. 游 戏. 点 看. 移 动. 网 址. 网 店. 网 站. 网 络. 联 通. 购 物. 集 团. 餐 厅. 點 看 INTEREST.BAND.BASEBALL.BASKETBALL.BLOG.BOOK.CAM.CAMERA.CAMP.CAR.CARDS.CARE.CHARITY.CHRISTMAS.CLUB.COOKING.CRICKET.DIY.DOG.EAT.ECO.FOOD.FOOTBALL.FORUM.FUTBOL.GARDEN.GIVES.GOLF.GREEN.GROUP.GUITARS.HOCKEY.INK.JUEGOS.MEET.MODA.MOTO.ORGANIC.PET.PETS.PICS.RACING.REPORT.REVIEW.REVIEWS.RODEO.RUGBY.RUN.SCIENCE.SKI.SOCCER.SOLAR.SOY.SPACE.SPORT.SPORTS.TATTOO.TEAM.TENNIS.THEATER.THEATRE.WIKI.YOGA. 八 卦 LEISURE.BET.BID.BINGO.CAMP.CASINO.CRUISES.DANCE.EVENTS.FISH.FISHING.FLIGHTS.FLY.GAME Rev 2.4 Pag. 4 di 6
5 .GAMES.HOLIDAY.HORSE.HOTEL.HOTELS.LOTTO.PARTY.PLAY.POKER.PUB.REISE.REISEN.SOCIAL.SPA.SURF.TOUR.TOURS.VACATIONS.VEGAS.VIAJES.VOYAGE.YACHTS. 游 戏 FINANCE.ACCOUNTANT.ACCOUNTANTS.BANK.BANQUE.BROKER.CAPITAL.CASH.CPA.CREDIT.CREDITCARD.CREDITUNION.ESTATE.EXCHANGE.FINANCE.FINANCIAL.FUND.GOLD.HOLDINGS.INVESTMENTS.IRA.LOAN.LOANS.MONEY.MORTGAGE.PAY.REIT.RICH.TAX. 工 行 NOVELTY.ARE.BEST.BLACK.BLUE.BOO.BOX.BUZZ.COOL.CYOU.DAY.EST.FAIL.FEEDBACK.FINAL.FOO.FREE.FUN.FYI.GOO.GRATIS.GRIPE.HERE.HOT.HOW.ING.KIM.LOL.MEME.MEN.MOE.NEW.NINJA.NOW.ONE.OOO.PID.PINK.PLUS.RED.RIP.ROCKS.RSVP.SPOT.SUCKS.TODAY.WIN.WOW.WTF.XYZ.YOU.ZONE.みんな. 我 爱 你 REAL ESTATE.APARTMENTS.BUILD.BUILDERS.CASA.CONDOS.FORSALE.HAUS.HOME.HOMES.HOUSE.IMMO.IMMOBILIEN.LAND.LEASE.MAISON.MLS.PROPERTIES.PROPERTY.REALESTATE.REALTOR.REALTY.RENT.STUDIO.VILLAS SERVICES.ABOGADO.ACCOUNTANT.ACCOUNTANTS.APARTMENTS.APP.ARCHI.ARCHITECT.ATTORNEY.AUTO.BANK.BANQUE.BROKER.BUILD.BUILDERS.CAB.CAREER.CAREERS.CATERING.CITYEATS.CLAIMS.CLEANING.CLINIC.CONSTRUCTION.CONSULTING.CONTRACTORS.CPA.CREDITUNION.DDS.DELIVERY.DENTAL.DENTIST.DESIGN.DIRECT.DIRECTORY.DOCS.DOCTOR.DOWNLOAD. .ENERGY.ENGINEER.ENGINEERING.ESQ.EXPERT.EXPRESS.FARM.FINANCE.FINANCIAL.FIT.FITNESS.FLIGHTS.FLORIST.FLOWERS.FLY.GLASS.GRAPHICS.GUIDE.GURU.HEALTH.HEALTHCARE.HELP.HOSPITAL.HOSTING.HOTEL.HOTELS.INSTITUTE.INSURANCE.INSURE.INVESTMENTS.LAW.LAWYER.LEGAL.LIFE.LIMO.LOAN.LOANS.MAIL.MANAGEMENT.MARKETING.MED.MEDICAL.MEET.MEMORIAL.MLS.MOBILE.MONEY.MORTGAGE.NEWS.PHARMACY.PHYSIO.PLUMBING.PRODUCTIONS.REALTOR.REHAB.RENTALS.REPAIR.REST.SALON.SECURE.SECURITY.SERVICES.STORAGE.SUPPORT.SURGERY.TATTOO.TAXI.TIPS.TOURS.TRAINING.VERSICHERUNG.VET.VIN.WED.WORK.WORKS Rev 2.4 Pag. 5 di 6
6 رازاب.. 招 聘. 新 闻 SHOPPING.AUCTION.AUDIO.AUTO.BARGAINS.BID.BIKE.BLACKFRIDAY.BOATS.BOUTIQUE.BUY.CARS.CHEAP.CLOTHING.COMPUTER.COUPON.COUPONS.DEAL.DEALS.DIAMONDS.DISCOUNT.ECOM.EQUIPMENT.EXCHANGE.FASHION.FORSALE.FREE.FURNITURE.GIFT.GIFTS.JEWELRY.KAUFEN.LIGHTING.LUXE.LUXURY.MARKET.MARKETS.MODA.MOTORCYCLES.PARTS.PROMO.QPON.SALE.SAVE.SHOES.SHOP.SHOPPING.STORE.SUPPLIES.SUPPLY.TICKETS.TIENDA.TIRES.TOOLS.TOYS.WATCH رازاب.. 商 城. 商 店. 时 尚. 网 店. 购 物 SPORTS.BASEBALL.BASKETBALL.COACH.CRICKET.FAN.FANS.FOOTBALL.FUTBOL.GOLF.HOCKEY.MOTO.RACING.RODEO.RUGBY.RUN.SKI.SOCCER.SPORT.SPORTS.TEAM.TENNIS.YOGA TECHNOLOGY.APP.BLOG.CHAT.CLICK.CLOUD.CODES.COMPUTER.COMSEC.DATA.DIGITAL.DOCS.DOMAINS.DOT.DOWNLOAD. .GRAPHICS.HOST.HOSTING.IDN.LINK.MAIL.MAP.MEDIA.MOBILE.MOV.NETWORK.ONLINE.PHONE.SEARCH.SITE.SOFTWARE.SYSTEMS.TECH.TECHNOLOGY.TUBE.WEB.WEBCAM.WEBSITE.WEIBO.ZIP.онлайн.сайт تالاصتا. عقوم.. 中 文 网. 在 线. 微 博. 手 机. 移 动. 网 址. 网 站. 网 络 Rev 2.4 Pag. 6 di 6
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