Write your testimony



Tell your story and upload your photograph: it will be published in the Testimonial page.

Name (required)

Surname (required)

City (required)

Province (required)

Email (required - will NOT be published)

My story (required)

Photo (required)
JPG, max 500kB, width 500px-1000px

I, the undersigned, wearer of an ocular prosthesis applied in a location of the company Dalpasso Srl, authorize the company itself to use my image and the accompanying notes exclusively on the "Testimonial" page on website www.dalpasso.it.