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The information collected from this form is necessary for the appraisal of your application. They are recorded and transmitted to the services of the Chapoutier company in charge of its processing. You have a right of access, modification and opposition to the data that concerns you. To exercise this right, please contact: M.Chapoutier S.A. , 18 avenue Dr Paul Durand - B.P. 38 - 26 600 Tain l'Hermitage - FRANCE.

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