In accordance with the established by the Organic Law 15/1999, inform him that the data obtained of this form will be incorporated to a file automated under the responsibility of BLANCO Y NEGRO GIRLFRIENDS with the purpose to attend his surgeries and remit him information related that it can be of his interest. It can exert his rights of access, rectification, cancellation and opposition by means of a writing to our direction PAU CASALS, 39 The Prat of Llobregat.
While it do not communicate us the contrary, will understand that his data have not been modified, that you engages to notify us any variation and that have his consent to use them for the purposes mentioned.
The sending of these data involves the acceptance of this clause.
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