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The personal data collected on this form is intended for LPG Systems, which is in charge of processing the data for entry into its customer database, and for use in its marketing activities. In accordance with Law 78-17 of 6 January 1978 as amended, relating to computers, files and freedoms, called the “Data Protection Act”, you have the right to access, correct, and delete data of a personal nature that relates to you. You can exercise this right by contacting the customer service department, by clicking here ServiceClientWellbox (email of Wellbox customer service) or by writing to the following postal address: LPG SYSTEMS, Wellbox Customer Service, 30 rue Dr Abel, Technoparc de la Plaine, 26000 VALENCE, FRANCE.