Segnalazione Social | Telefono Azzurro

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Segnalazione Social | Telefono Azzurro

Segnalazione Social

VUOI RIMANERE ANONIMO?

Giorno

A che ora

Note

Indirizzo URL

Motivo della segnalazione

Email

Ho letto e accettato le condizioni dell' Informativa sulla Privacy (*obbligatorio)

VUOI COMUNICARCI I TUOI DATI?

Giorno

A che ora

Nome del social

Nickname dell'autore del contenuto

Testo del messaggio

Note

Indirizzo URL

Motivo della segnalazione

Nome

Cognome

Email

Cellulare

Ho letto e accettato le condizioni dell' Informativa sulla Privacy (*obbligatorio)

report social media content

DO YOU WANT TO BE ANONYMOUS?

Date

Time

Social media platform

Nickname used by the author

Content of the message

Describe the incident

Url Address

What are you reporting

Email

I have read and I agree with the Privacy Policy (*mandatory)

DO YOU WANT TO SHARE YOUR CONTACT INFORMATION?

Date

Time

Social Media Platform

Nickname used by the author

Content

Describe the incident

URL Address

What are you reporting

Name

Surname

Email address

Phone number

I have read and I agree with the Privacy Policy (*mandatory)

Farmacia del Centro