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Date on incident*
Cause of claim*
Name*
Surname*
Phone number
Email address**
Street**
Postal Code**
City**
Parking ticket number
Registration plates
Tax receipt number
Penalty fee number
Parking lot*
Description*
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Interparking Polska Sp. z o.o. with its seat in Warsaw (00-660) at 69/6 Koszykowa Street is the administrator of the submitted personal data. Your personal data shall be processes for the purposes connected with your application and/or for other legible purposes in accordance with the Personal Data Protection Act dated 29.08.1997. Submission of the personal data is voluntary. You shall have right to access your personal data and to correct them.

I agree for processing of my personal data by Interparking Polska Sp. z o.o. with its seat in Warsaw  (00-660) at 69/6 Koszykowa Street for marketing and commercial purposes connected to the services offered by Interparking Polska Sp z o.o.

I agree to receive commercial information relating to Interparking Polska Sp. z o.o. by means of electronic communication.

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** Email or address for correspondence is required