I consent to the processing of my personal data by Orto Med Sport Praktyka Lekarska Bartłomiej Kacprzak, ul. 28 Pułku Strzelców Kaniowskich 44, 90-640 Łódź in order to perform the contract. This consent will include the processing of personal data in the form of: name and surname, address of the place of residence or address of the registered office, as well as the address for delivery of the Goods (if different from the address of the place of residence or registered office), e-mail address, mobile phone number.
You can revoke your consent in writing and from the date of receipt of such a declaration, your data will no longer be processed for the purposes indicated in this form.