NON-PROFESSIONAL HEALTH BENEFICIARY MEMBER PROPOSAL Please enable JavaScript in your browser to complete this form.NameJobWorkplaceBirth dateVAT *AddressCityPostal CodePhone *Email *Program you want to participate in: *Mama_Move_GaiaProstata_MoveBefore submitting your membership proposal, check the conditions of the community programs we have in place: MAMAMOVE_GAIA_COMMUNITY and PROSTATAMOVE_COMMUNITYData Protection Regime *I declare for the purposes set out in article 13 of the General Data Protection Regulation (EU) 2016/679 of the EP and the Council of 27 April (RGPD) to hereby give my consent to the processing of my personal data to AICSO, Collective Person n.º 504841840, headquartered at Avenida João Paulo II, nº 911, loja 9, 4410-406 Arcozelo, Vila Nova de Gaia, within the scope of the activity provided for in the statutes. I authorize the use of my data to send communications via email, telephone or SMS, within the scope of activity provided for in the AICSO statutes.Annual fee of 12 Euros. Amount to be settled by January 31 of each calendar year.Submit
