“Tell your experience” campaign

E-mail*:

Already our customer? *
YesNo

First name*:

Department*:

Your company email *:

Do you authorize us to send news, launches and promotions in your email? *
YesNo

Your Phone and Extension *:

Your Whatsapp*:

Do you authorize us to forward LEMASA news on your WhatsApp? *
YesNo

Company (Company Name) *:

Fantasy name*:

CNPJ*:

City State*:

Indicate which segment (s) *:
AirportPerformance at AlunorteAutomotiveBiodieselCelluloseCementConstructionShipbuildingEnergyFeed IndustryMalteria IndustryChemical industryTextile industryMiningPalm oilPetrochemical / RefineryOil platformService ProvidersSanitationIron metallurgySugar and alcohol and ethanolTrading
Outro:

Write a brief testimonial about your experiences with the LEMASA product (s) *:

Attach photos and / or application videos using the LEMASA product (s) in your company:

Do you authorize us to disclose the information in this section? *:
Your experience is very important to us. We would like to obtain your authorization to use them through the following consent: I hereby AUTHORIZE for all legal purposes that Lemasa Indústria e Comércio de Equipamentos de Alta Pressure SA, hereinafter referred to as “company”, to use my image, voice and intellectual work, contained in photos (s) and / or footage that was (were) forwarded with my prior consent in this form.
YesNo

Any observations or suggestions to make? *: