Your name (required field)

Your email e-mail (required field)

Street, no. (required field)

Town, Postal number (required field)

Phone number (optional)

Customer card pickup note

I agree with the processing of my personal data for the purpose of issuing a discount card and sending marketing offers. We undertake not to provide your data to a third party. The personal data will only be used by Haihang s.r.o. for the purposes mentioned earlier.