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Titles are important and it is best to address people directly by using Mr., Mrs., or Miss, followed by the surname. Note: “Signore” is for Mr., "Signora " is Mrs. and "Signorina”" is Miss.
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People with university degrees are usually addressed as “Dottore” or “Dottoressa” followed by the family name.
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You should always wait to be invited to use first names before doing so yourself.
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It is very common to have your title prominent on your business card.
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Before a meeting, business cards are usually exchanged using one hand, it doesn’t tend to matter if it is the right or left.
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